Green, Kyle
Green, Kyle is an individual health care provider with primary practice located at 22431 Antonio Pkwy # B160-613 , Rancho Santa Margarita CA 92688-2804. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Green, Kyle can be contacted via phone (855) 727-2251.Contact Information
Primary practice address
22431 Antonio Pkwy # B160-613
Rancho Santa Margarita CA 92688-2804
Phone: (855) 727-2251
Fax: (855) 727-2251
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X |
Profile Details
| NPI number | 1194246041 |
|---|---|
| LBN Legal business name | Green, Kyle |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2017 |
| Last updated | Nov 10th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194246041 | NPPES |
| California | Other | 58474 | PHYSICIAN ASSISTANT |
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