Heisey, Kyle

Heisey, Kyle is an individual health care provider with primary practice located at 510 W 1St Ave , Toppenish WA 98948-1564. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Heisey, Kyle can be contacted via phone (509) 865-5600.

Contact Information

Primary practice address
510 W 1St Ave Toppenish WA 98948-1564
Fax: (509) 865-5783
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00028899 Washington

Profile Details

NPI number 1982790176
LBN Legal business name Heisey, Kyle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Mar 18th, 2021 - about 4 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 1982790176 NPPES
Washington Other 63561 L & I
Washington Other 22899 L & I
Washington Other 8138935 L & I
Washington MEDICAID 8138935 L & I
Washington Other 911019392 L & I
Washington Other HE0007 L & I

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