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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194246041 NPPES
California Other 58474 PHYSICIAN ASSISTANT

Popular Providers