Moore, Kyle Von
Moore, Kyle Von is an individual health care provider with primary practice located at 501 S Chipeta Way , Salt Lake City UT 84108-1222. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Moore, Kyle Von can be contacted via phone (801) 581-7951.Contact Information
Primary practice address
501 S Chipeta Way
Salt Lake City UT 84108-1222
Phone: (801) 581-7951
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 62587 | Minnesota |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | 11273463-1204 | Utah |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 11273463-1204 | Utah |
Profile Details
| NPI number | 1154785616 |
|---|---|
| LBN Legal business name | Moore, Kyle Von |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2016 |
| Last updated | Jun 18th, 2019 - 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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