Blackman, Kyle Ross
Blackman, Kyle Ross is an sole proprietor health care provider with primary practice located at 21300 Redskin Park Dr , Ashburn VA 20147-6100. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Blackman, Kyle Ross can be contacted via phone (703) 726-7000.Contact Information
Primary practice address
21300 Redskin Park Dr
Ashburn VA 20147-6100
Phone: (703) 726-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 0126001742 | Virginia |
Profile Details
| NPI number | 1598008112 |
|---|---|
| LBN Legal business name | Blackman, Kyle Ross |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 2nd, 2013 |
| Last updated | Apr 2nd, 2013 - about 12 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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