Prothro, Kyle Joseph

Prothro, Kyle Joseph is an individual health care provider with primary practice located at 2145 Henry Tecklenburg Dr Suite 220, Charleston SC 29414-5893. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Prothro, Kyle Joseph can be contacted via phone (843) 872-2720.

Contact Information

Primary practice address
2145 Henry Tecklenburg Dr Suite 220 Charleston SC 29414-5893
Phone: (843) 872-2720
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1306046479
LBN Legal business name Prothro, Kyle Joseph
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2007
Last updated Oct 1st, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306046479 NPPES
Other 050702214 NATABOC
Other 1248 NATABOC

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