Maggard, Reuben Kyle
Maggard, Reuben Kyle is an individual health care provider with primary practice located at 1563 Kingsley Avenue Suite 106, Orange Park FL 32073. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Maggard, Reuben Kyle can be contacted via phone (904) 272-6161.Contact Information
Primary practice address
1563 Kingsley Avenue Suite 106
Orange Park FL 32073
Phone: (904) 272-6161
Fax: (904) 272-9797
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME112969 | Florida |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | ME112969 | Florida |
Profile Details
| NPI number | 1558572065 |
|---|---|
| LBN Legal business name | Maggard, Reuben Kyle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2007 |
| Last updated | Jan 17th, 2017 - about 7 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 | 1558572065 | NPPES |
| Florida | MEDICAID | 006252200 |
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