Runnels, Kyle K.

Runnels, Kyle K. is an sole proprietor health care provider with primary practice located at 1058 Tamiami Trail Suite 108 - 128, Sarasota FL 34236-2416. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Runnels, Kyle K. can be contacted via phone (850) 714-4841.

Contact Information

Primary practice address
1058 Tamiami Trail Suite 108 - 128 Sarasota FL 34236-2416
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry 2084B0040X 201837 Louisiana
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME149813 Florida

Profile Details

NPI number 1497966907
LBN Legal business name Runnels, Kyle K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2007
Last updated Feb 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497966907 NPPES
Louisiana MEDICAID 21481

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