Flesher, Kyle Jerry

Flesher, Kyle Jerry is an sole proprietor health care provider with primary practice located at 1608 W Plaza Dr , Tallahassee FL 32308-5324. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Flesher, Kyle Jerry can be contacted via phone (850) 942-2400.

Contact Information

Primary practice address
1608 W Plaza Dr Tallahassee FL 32308-5324
Phone: (850) 942-2400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO2348 Florida

Profile Details

NPI number 1194831776
LBN Legal business name Flesher, Kyle Jerry
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2006
Last updated May 27th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194831776 NPPES
Florida MEDICAID 390292700

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