Lyke, Kirsten Ellizabeth

Lyke, Kirsten Ellizabeth is an individual health care provider with primary practice located at 22 S Greene St , Baltimore MD 21201-1544. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Lyke, Kirsten Ellizabeth can be contacted via phone (410) 328-5793.

Contact Information

Primary practice address
22 S Greene St Baltimore MD 21201-1544
Fax: (410) 328-0248
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X D0054066 Maryland

Profile Details

NPI number 1164416400
LBN Legal business name Lyke, Kirsten Ellizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Apr 17th, 2008 - about 16 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 1164416400 NPPES
West Virginia MEDICAID 2004288000
West Virginia Other 614169-01 & 02
West Virginia MEDICAID 1164416400

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