Fairless, Kyle Robert

Fairless, Kyle Robert is an individual health care provider with primary practice located at 14600 Lakeside Cir Lakeside Mall, Sterling Heights MI 48313-1356. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fairless, Kyle Robert can be contacted via phone (586) 247-1000.

Contact Information

Primary practice address
14600 Lakeside Cir Lakeside Mall Sterling Heights MI 48313-1356
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901003708 Michigan

Profile Details

NPI number 1912062654
LBN Legal business name Fairless, Kyle Robert
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Sep 9th, 2007 - about 17 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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