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
Phone: (586) 247-1000
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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