Clark, Kyle
Clark, Kyle is an individual health care provider with primary practice located at 3155 N Point Pkwy , Alpharetta GA 30005-5481. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, which is considered as his primary health care specialty. Clark, Kyle can be contacted via phone (815) 382-9497.Contact Information
Primary practice address
3155 N Point Pkwy
Alpharetta GA 30005-5481
Phone: (815) 382-9497
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X |
Profile Details
| NPI number | 1376170613 |
|---|---|
| LBN Legal business name | Clark, Kyle |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2020 |
| Last updated | Mar 26th, 2020 - about 5 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 | 1376170613 | NPPES |
| Other | 140547 | CHILDREN'S HEALTHCARE OF ATLANTA |
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