Heim, Kylie

Heim, Kylie is an sole proprietor health care provider with primary practice located at 1600 University Ave , Bolivar MO 65613-2578. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Heim, Kylie can be contacted via phone (417) 328-1486.

Contact Information

Primary practice address
1600 University Ave Bolivar MO 65613-2578
Phone: (417) 328-1486
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2013022076 Missouri

Profile Details

NPI number 1619412889
LBN Legal business name Heim, Kylie
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2016
Last updated Dec 27th, 2016 - about 8 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 1619412889 NPPES
Missouri Other 2013022076 MISSOURI LICENSE

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