Kyle, Walter L

Kyle, Walter L is an individual health care provider with primary practice located at 5111 Rogers Ave Ste 40M, Fort Smith AR 72903-2047. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kyle, Walter L can be contacted via phone (479) 709-7440.

Contact Information

Primary practice address
5111 Rogers Ave Ste 40M Fort Smith AR 72903-2047
Fax: (479) 709-7441
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C5072 Arkansas

Profile Details

NPI number 1861489676
LBN Legal business name Kyle, Walter L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Aug 23rd, 2010 - about 14 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 1861489676 NPPES
Arkansas MEDICAID 105912001
Arkansas MEDICAID 100079640A

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