Fardanesh, Kyle

Fardanesh, Kyle is an individual health care provider with primary practice located at 9105 Four Seasons Dr , Elk Grove CA 95624-1288. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Fardanesh, Kyle can be contacted via phone (916) 792-1889.

Contact Information

Primary practice address
9105 Four Seasons Dr Elk Grove CA 95624-1288
Phone: (916) 792-1889
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X

Profile Details

NPI number 1043762305
LBN Legal business name Fardanesh, Kyle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2016
Last updated Nov 2nd, 2016 - about 9 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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