Hoogendoorn, Kyle E

Hoogendoorn, Kyle E is an individual health care provider with primary practice located at 6048 Lake Worth Blvd , Fort Worth TX 76135-3706. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Hoogendoorn, Kyle E can be contacted via phone (817) 336-1189.

Contact Information

Primary practice address
6048 Lake Worth Blvd Fort Worth TX 76135-3706
Fax: (817) 698-8281
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1844 Texas

Profile Details

NPI number 1629135157
LBN Legal business name Hoogendoorn, Kyle E
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Nov 3rd, 2015 - about 9 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 1629135157 NPPES
Texas MEDICAID 198413002
Texas MEDICAID 198413003
Texas MEDICAID 198413001
Texas MEDICAID 198413004

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