Rockers, Kyle Matthew

Rockers, Kyle Matthew is an individual health care provider with primary practice located at 3165 Demers Ave - Truyu Aesthetic Center , Grand Forks ND 58201-4049. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Rockers, Kyle Matthew can be contacted via phone (701) 780-6623.

Contact Information

Primary practice address
3165 Demers Ave - Truyu Aesthetic Center Grand Forks ND 58201-4049
Phone: (701) 780-6623
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 04-37503 Kansas
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 15835 North Dakota

Profile Details

NPI number 1225028699
LBN Legal business name Rockers, Kyle Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Oct 28th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225028699 NPPES
Other 003719342 MEDICARE
MEDICAID 201101740A MEDICARE

Popular Providers