Shaddix, Kyle Kit

Shaddix, Kyle Kit is an individual health care provider with primary practice located at 5147 N 9Th Ave Ste 203, Pensacola FL 32504-8771. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Shaddix, Kyle Kit can be contacted via phone (850) 476-7100.

Contact Information

Primary practice address
5147 N 9Th Ave Ste 203 Pensacola FL 32504-8771
Phone: (850) 476-7100
Fax: (850) 479-6042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME99596 Florida
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X ME99596 Florida

Profile Details

NPI number 1346496460
LBN Legal business name Shaddix, Kyle Kit
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2008
Last updated Jul 26th, 2015 - about 10 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 1346496460 NPPES
Georgia MEDICAID 003155317A
Georgia MEDICAID 013852500

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