Herbold, Kyle Wayne

Herbold, Kyle Wayne is an individual health care provider with primary practice located at 4553 Quail Lakes Dr , Stockton CA 95207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Herbold, Kyle Wayne can be contacted via phone (209) 951-1133.

Contact Information

Primary practice address
4553 Quail Lakes Dr Stockton CA 95207
Phone: (209) 951-1133
Fax: (209) 951-4708
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A068815 California

Profile Details

NPI number 1568407013
LBN Legal business name Herbold, Kyle Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Jul 13th, 2007 - about 17 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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