Dearing, Kyle Dean

Dearing, Kyle Dean is an individual health care provider with primary practice located at 2615 Almond St , Klamath Falls OR 97601-1176. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dearing, Kyle Dean can be contacted via phone (541) 883-3688.

Contact Information

Primary practice address
2615 Almond St Klamath Falls OR 97601-1176
Fax: (541) 883-3687
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4438ATI Oregon

Profile Details

NPI number 1346809787
LBN Legal business name Dearing, Kyle Dean
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2019
Last updated Aug 8th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346809787 NPPES
Oregon MEDICAID 500763770

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