Carlson, Kyle James

Carlson, Kyle James is an sole proprietor health care provider with primary practice located at 700 S Main St , Moscow ID 83843-3046. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Carlson, Kyle James can be contacted via phone (208) 228-4511.

Contact Information

Primary practice address
700 S Main St Moscow ID 83843-3046
Phone: (208) 228-4511
Fax: (208) 883-6571
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 77673 Idaho

Profile Details

NPI number 1275312357
LBN Legal business name Carlson, Kyle James
Credentials DNP, CRNA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2023
Last updated Sep 27th, 2023 - about 2 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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