Blevings, Kyle Matthew

Blevings, Kyle Matthew is an individual health care provider with primary practice located at 3012 Glenmore Ave Ste 104 , Cincinnati OH 45238-2258. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Blevings, Kyle Matthew can be contacted via phone (844) 584-7284.

Contact Information

Primary practice address
3012 Glenmore Ave Ste 104 Cincinnati OH 45238-2258
Phone: (844) 584-7284
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2000015073
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT 0000001766 Tennessee
Other Service Providers / Case Manager/Care Coordinator 171M00000X Ohio

Profile Details

NPI number 1164874715
LBN Legal business name Blevings, Kyle Matthew
Credentials LAT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2016
Last updated Oct 1st, 2020 - about 4 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 1164874715 NPPES
Other 2000015073 BOARD OF CERTIFICATION (BOC)
Other AT 0000001766 BOARD OF CERTIFICATION (BOC)

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