Kyriakos, Michelle Ann
Kyriakos, Michelle Ann is an individual health care provider with primary practice located at 1375 Nw Kingston Ave , Bend OR 97701-2242. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kyriakos, Michelle Ann can be contacted via phone (541) 383-5958.Contact Information
Primary practice address
1375 Nw Kingston Ave
Bend OR 97701-2242
Phone: (541) 383-5958
Fax: (541) 383-3016
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD19546 | Oregon |
Profile Details
| NPI number | 1033194204 |
|---|---|
| LBN Legal business name | Kyriakos, Michelle Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 10th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1033194204 | NPPES |
| Oregon | MEDICAID | 075056 |
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