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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033112511 NPPES
Texas MEDICAID 202347502
Texas MEDICAID 202347505

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