Park, Kyle K
Park, Kyle K is an sole proprietor health care provider with primary practice located at 107 Houpt Drive , Upper Sandusky OH 43351-9201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Park, Kyle K can be contacted via phone (419) 294-5757.Contact Information
Primary practice address
107 Houpt Drive
Upper Sandusky OH 43351-9201
Phone: (419) 294-5757
Fax: (419) 209-0623
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35037628 | Ohio |
Profile Details
| NPI number | 1609062488 |
|---|---|
| LBN Legal business name | Park, Kyle K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2007 |
| Last updated | Apr 11th, 2008 - about 17 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 | 1609062488 | NPPES |
| Ohio | MEDICAID | 0408811 |
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