Dexter, Kyle Raymond Kwon
Dexter, Kyle Raymond Kwon is an individual health care provider with primary practice located at 122 1St Ave Ste 400 , Fairbanks AK 99701-4871. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Dexter, Kyle Raymond Kwon can be contacted via phone (907) 452-8251.Contact Information
Primary practice address
122 1St Ave Ste 400
Fairbanks AK 99701-4871
Phone: (907) 452-8251
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | 164185 | Alaska |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 022959 | New York |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 164185 | Alaska |
Profile Details
NPI number | 1447725809 |
---|---|
LBN Legal business name | Dexter, Kyle Raymond Kwon |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 11th, 2018 |
Last updated | Nov 30th, 2022 - 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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