Christensen, Kyle J
Christensen, Kyle J is an individual health care provider with primary practice located at 1000 N Main St Ste B , Richfield UT 84701-2069. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Christensen, Kyle J can be contacted via phone (435) 893-0800.Contact Information
Primary practice address
1000 N Main St Ste B
Richfield UT 84701-2069
Phone: (435) 893-0800
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA2006-0022 | New Mexico |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
NPI number | 1831290790 |
---|---|
LBN Legal business name | Christensen, Kyle J |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 25th, 2006 |
Last updated | Jun 24th, 2022 - about 3 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 | 1831290790 | NPPES |
New Mexico | MEDICAID | 47589523 | |
New Mexico | Other | PA2006-0022 |
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