Brown, Kyle R
Brown, Kyle R is an individual health care provider with primary practice located at 540 Saybrook Rd Suite 160, Middletown CT 06457-4711. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Brown, Kyle R can be contacted via phone (860) 685-8940.Contact Information
Primary practice address
540 Saybrook Rd Suite 160
Middletown CT 06457-4711
Phone: (860) 685-8940
Fax: (860) 685-8947
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 001574 | Connecticut |
Profile Details
| NPI number | 1649278540 |
|---|---|
| LBN Legal business name | Brown, Kyle R |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649278540 | NPPES |
| Connecticut | Other | 747653 | CONNECTICARE PROVIDER NUM |
| Connecticut | Other | 290001574CT01 | CONNECTICARE PROVIDER NUM |
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