Ditto, Shey Kyle

Ditto, Shey Kyle is an individual health care provider with primary practice located at 11615 Angus Rd Ste 106 , Austin TX 78759-4064. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Phlebology. Allopathic & Osteopathic Physicians / Phlebology is his primary health care specialty. Ditto, Shey Kyle can be contacted via phone (512) 436-9986.

Contact Information

Primary practice address
11615 Angus Rd Ste 106 Austin TX 78759-4064
Fax: (512) 436-8295
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X Q7861 Texas
Allopathic & Osteopathic Physicians / Phlebology 202K00000X Q7861 Texas

Profile Details

NPI number 1316387061
LBN Legal business name Ditto, Shey Kyle
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2013
Last updated Feb 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316387061 NPPES
Texas MEDICAID 393647801
Texas Other Q7861

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