Driscoll, Kyla Jae

Driscoll, Kyla Jae is an individual health care provider with primary practice located at 971 E Wichita Ave , Russell KS 67665-2444. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Driscoll, Kyla Jae can be contacted via phone (316) 400-3535.

Contact Information

Primary practice address
971 E Wichita Ave Russell KS 67665-2444
Phone: (316) 400-3535
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Kansas

Profile Details

NPI number 1962170282
LBN Legal business name Driscoll, Kyla Jae
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2021
Last updated Sep 1st, 2021 - 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 1962170282 NPPES
Kansas MEDICAID 000000

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