Hendricks, Kyla Jeanne

Hendricks, Kyla Jeanne is an individual health care provider with primary practice located at 2525 Erringer Rd , Simi Valley CA 93065-2352. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hendricks, Kyla Jeanne can be contacted via phone (805) 527-1404.

Contact Information

Primary practice address
2525 Erringer Rd Simi Valley CA 93065-2352
Phone: (805) 527-1404
Fax: (805) 527-5246
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA16030 California

Profile Details

NPI number 1962587717
LBN Legal business name Hendricks, Kyla Jeanne
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Oct 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962587717 NPPES
California Other PA16030 PA STATE LICENSE

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