Dennis, Kyle Cliffton
Dennis, Kyle Cliffton is an individual health care provider with primary practice located at 2910 Jenny Lind Rd , Fort Smith AR 72901-6735. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Dennis, Kyle Cliffton can be contacted via phone (479) 785-2555.Contact Information
Primary practice address
2910 Jenny Lind Rd
Fort Smith AR 72901-6735
Phone: (479) 785-2555
Fax: (479) 785-3555
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | C01542 | Arkansas |
Profile Details
NPI number | 1891807947 |
---|---|
LBN Legal business name | Dennis, Kyle Cliffton |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 31st, 2006 |
Last updated | Jun 4th, 2009 - about 15 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 | 1891807947 | NPPES |
Arkansas | MEDICAID | 159007001 | |
Arkansas | MEDICAID | 200073830A |
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