Black, Kyle E

Black, Kyle E is an individual health care provider with primary practice located at 5616 Denwood Ln , Durham NC 27705-9252. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Black, Kyle E can be contacted via phone (919) 358-0756.

Contact Information

Primary practice address
5616 Denwood Ln Durham NC 27705-9252
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 5481 Alaska

Profile Details

NPI number 1225077415
LBN Legal business name Black, Kyle E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Apr 13th, 2015 - about 9 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 1225077415 NPPES
Alaska MEDICAID MD8533

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