Mix, Kylie Janae

Mix, Kylie Janae is an sole proprietor health care provider with primary practice located at 10767 E Traverse Hwy , Traverse City MI 49684-6219. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Mix, Kylie Janae can be contacted via phone (231) 947-1112.

Contact Information

Primary practice address
10767 E Traverse Hwy Traverse City MI 49684-6219
Phone: (231) 947-1112
Fax: (231) 947-7739
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 2902012893 Michigan

Profile Details

NPI number 1699387480
LBN Legal business name Mix, Kylie Janae
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2020
Last updated Aug 21st, 2020 - about 5 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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