Shackelford, Kyle Andrew

Shackelford, Kyle Andrew is an individual health care provider with primary practice located at 6165 Valley Springs Pkwy Ste E , Riverside CA 92507-0955. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Shackelford, Kyle Andrew can be contacted via phone (951) 214-6585.

Contact Information

Primary practice address
6165 Valley Springs Pkwy Ste E Riverside CA 92507-0955
Phone: (951) 214-6585
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 32608 California

Profile Details

NPI number 1689130064
LBN Legal business name Shackelford, Kyle Andrew
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2019
Last updated Feb 11th, 2019 - about 6 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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