Brim, Kyle

Brim, Kyle is an individual health care provider with primary practice located at 111 S Front St , Harrisburg PA 17101-2010. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Brim, Kyle can be contacted via phone (717) 782-3131.

Contact Information

Primary practice address
111 S Front St Harrisburg PA 17101-2010
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MA060030 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA060030 Pennsylvania

Profile Details

NPI number 1437639341
LBN Legal business name Brim, Kyle
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2018
Last updated Jan 16th, 2021 - 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 1437639341 NPPES
Pennsylvania Other OA004579 OSTEOPATHIC PHYSICIAN ASSISTANT LICENSE
Pennsylvania Other MA060030 OSTEOPATHIC PHYSICIAN ASSISTANT LICENSE

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