Hootman, Kyra K
Hootman, Kyra K is an sole proprietor health care provider with primary practice located at 2001 Lake Ave , Pueblo CO 81004-3535. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Hootman, Kyra K can be contacted via phone (719) 564-0300.Contact Information
Primary practice address
2001 Lake Ave
Pueblo CO 81004-3535
Phone: (719) 564-0300
Fax: (719) 564-0303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 38729 | Colorado |
Profile Details
| NPI number | 1437108131 |
|---|---|
| LBN Legal business name | Hootman, Kyra K |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2006 |
| Last updated | Aug 13th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437108131 | NPPES |
| Colorado | MEDICAID | 62781847 |
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