Childers, Kyle Jamison

Childers, Kyle Jamison is an individual health care provider with primary practice located at 3085 Lakecrest Cir , Lexington KY 40513-1707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Childers, Kyle Jamison can be contacted via phone (859) 258-8660.

Contact Information

Primary practice address
3085 Lakecrest Cir Lexington KY 40513-1707
Phone: (859) 258-8660
Fax: (859) 258-8610
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 37889 Kentucky

Profile Details

NPI number 1992735559
LBN Legal business name Childers, Kyle Jamison
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Sep 16th, 2016 - about 9 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 1992735559 NPPES
Georgia Other CC4966 RR MEDICARE GROUP
Georgia Other 37903705 RR MEDICARE GROUP
Georgia Other 4000501 RR MEDICARE GROUP
Georgia MEDICAID 64066343 RR MEDICARE GROUP
Georgia Other P00004985 RR MEDICARE GROUP

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