Boren, Kyle W
Boren, Kyle W is an individual health care provider with primary practice located at 1420 Tusculum Blvd Fl 4 , Greeneville TN 37745-4279. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Boren, Kyle W can be contacted via phone (423) 639-2103.Contact Information
Primary practice address
1420 Tusculum Blvd Fl 4
Greeneville TN 37745-4279
Phone: (423) 639-2103
Fax: (423) 783-5515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 33 | Tennessee |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 3143 | Tennessee |
Profile Details
| NPI number | 1619256328 |
|---|---|
| LBN Legal business name | Boren, Kyle W |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2011 |
| Last updated | Feb 26th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619256328 | NPPES |
| Tennessee | MEDICAID | Q025878 |
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