Brinson, Kyle David
Brinson, Kyle David is an individual health care provider with primary practice located at 2525 W University Ave Ste 300 , Muncie IN 47303-3432. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Brinson, Kyle David can be contacted via phone (765) 747-3883.Contact Information
Primary practice address
2525 W University Ave Ste 300
Muncie IN 47303-3432
Phone: (765) 747-3883
Fax: (765) 448-7671
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10002154A | Indiana |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 10002154A | Indiana |
Profile Details
NPI number | 1952855405 |
---|---|
LBN Legal business name | Brinson, Kyle David |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 12th, 2016 |
Last updated | Jul 8th, 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 | 1952855405 | NPPES |
Indiana | MEDICAID | 300005066 | |
Indiana | Other | M122404002 |
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