Clove, Kayson Tyler

Clove, Kayson Tyler is an individual health care provider with primary practice located at 51St Medical Group, 777 Songtan Blvd Unit 2060, Apo AP 96278. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Clove, Kayson Tyler can be contacted via phone (315) 784-0228.

Contact Information

Primary practice address
51St Medical Group, 777 Songtan Blvd Unit 2060 Apo AP 96278
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X

Profile Details

NPI number 1891567806
LBN Legal business name Clove, Kayson Tyler
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2023
Last updated Oct 23rd, 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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