Kenyon, Kyle Judson

Kenyon, Kyle Judson is an individual health care provider with primary practice located at 197 Plaza Dr The Clinic At Walmart, Forest City NC 28043-3712. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Kenyon, Kyle Judson can be contacted via phone (828) 286-9438.

Contact Information

Primary practice address
197 Plaza Dr The Clinic At Walmart Forest City NC 28043-3712
Phone: (828) 286-9438
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0010-05653 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-05653 North Carolina

Profile Details

NPI number 1417341405
LBN Legal business name Kenyon, Kyle Judson
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2015
Last updated Jun 5th, 2024 - about 5 months 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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