Pederson, Kyle James

Pederson, Kyle James is an individual health care provider with primary practice located at 6905 Harris Ave , Kailua HI 96734. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Other Service Providers / Independent Duty Corpsman. Other Service Providers / Independent Duty Corpsman is his primary health care specialty. Pederson, Kyle James can be contacted via phone (808) 257-3365.

Contact Information

Primary practice address
6905 Harris Ave Kailua HI 96734
Phone: (808) 257-3365
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1740957158
LBN Legal business name Pederson, Kyle James
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2021
Last updated Apr 14th, 2022 - about 2 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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