Kyle, Courtney S
Kyle, Courtney S is an individual health care provider with primary practice located at 6000 S. Mopac Expressway, Suite 200 , Austin TX 78749-7874. 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. Kyle, Courtney S can be contacted via phone (512) 244-4272.Contact Information
Primary practice address
6000 S. Mopac Expressway, Suite 200
Austin TX 78749-7874
Phone: (512) 244-4272
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA00470 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA00470 | Texas |
Profile Details
| NPI number | 1033112511 |
|---|---|
| LBN Legal business name | Kyle, Courtney S |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Apr 13th, 2021 - about 3 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 | 1033112511 | NPPES |
| Texas | MEDICAID | 202347502 | |
| Texas | MEDICAID | 202347505 |
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