Bertram, Kyle Andrew

Bertram, Kyle Andrew is an individual health care provider with primary practice located at 1353 Dorchester Ave , Dorchester MA 02122-2932. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Bertram, Kyle Andrew can be contacted via phone (857) 409-6024.

Contact Information

Primary practice address
1353 Dorchester Ave Dorchester MA 02122-2932
Phone: (857) 409-6024
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PH236898 Massachusetts

Profile Details

NPI number 1356842934
LBN Legal business name Bertram, Kyle Andrew
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2018
Last updated Feb 28th, 2018 - about 6 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 1356842934 NPPES
Massachusetts Other PH236898 PHARMACIST LICENSE

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