Kyle, Alexa Nicole

Kyle, Alexa Nicole is an individual health care provider with primary practice located at 45 Reade Place 2Nd Floor, Poughkeepsie NY 12601. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Kyle, Alexa Nicole can be contacted via phone (845) 483-6500.

Contact Information

Primary practice address
45 Reade Place 2Nd Floor Poughkeepsie NY 12601
Phone: (845) 483-6500
Fax: (845) 483-6504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 014548 New York
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 014548 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 014548 New York

Profile Details

NPI number 1073815700
LBN Legal business name Kyle, Alexa Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2010
Last updated Jan 25th, 2017 - about 7 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 1073815700 NPPES
New York MEDICAID 03448973

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