Lyttle, Kim
Lyttle, Kim is an sole proprietor health care provider with primary practice located at 16 Stanford Dr , Toms River NJ 08757-4428. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Lyttle, Kim can be contacted via phone (732) 703-5282.Contact Information
Primary practice address
16 Stanford Dr
Toms River NJ 08757-4428
Phone: (732) 703-5282
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 26NP0523200 | New Jersey |
Profile Details
| NPI number | 1225622863 |
|---|---|
| LBN Legal business name | Lyttle, Kim |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 24th, 2021 |
| Last updated | Feb 24th, 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 | 1225622863 | NPPES |
| New Jersey | Other | L96954346261552 | DRIVERS LICENSE |
| New Jersey | MEDICAID | L96954346261552 | DRIVERS LICENSE |
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