Bannister, Kyra Heather

Bannister, Kyra Heather is an individual health care provider with primary practice located at 1 Guthrie Sq , Sayre PA 18840-1625. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Bannister, Kyra Heather can be contacted via phone (570) 888-5858.

Contact Information

Primary practice address
1 Guthrie Sq Sayre PA 18840-1625
Phone: (570) 888-5858
Fax: (570) 887-4464
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD044464E Pennsylvania
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 162645-1 New York

Profile Details

NPI number 1578539730
LBN Legal business name Bannister, Kyra Heather
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Mar 25th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578539730 NPPES
New York MEDICAID 01070084
New York Other CC8362
New York Other P00693905
New York Other 050075742
New York Other CC9269
New York MEDICAID 0011740400001
New York Other GU039832

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