Cothron, Kyle Jordan

Cothron, Kyle Jordan is an individual health care provider with primary practice located at 320 E North Ave Level 01, Pittsburgh PA 15212-4756. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Cothron, Kyle Jordan can be contacted via phone (412) 718-5458.

Contact Information

Primary practice address
320 E North Ave Level 01 Pittsburgh PA 15212-4756
Phone: (412) 718-5458
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD458450 Pennsylvania
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD458450 Pennsylvania

Profile Details

NPI number 1356667851
LBN Legal business name Cothron, Kyle Jordan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2010
Last updated Oct 1st, 2020 - about 4 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 1356667851 NPPES
Pennsylvania MEDICAID 103124336

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