Shadle, Kyle M

Shadle, Kyle M is an individual health care provider with primary practice located at 1708 Coit Rd Suite 220A, Plano TX 75075-5024. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Shadle, Kyle M can be contacted via phone (972) 596-6400.

Contact Information

Primary practice address
1708 Coit Rd Suite 220A Plano TX 75075-5024
Phone: (972) 596-6400
Fax: (972) 867-4766
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 710328 Texas

Profile Details

NPI number 1265533434
LBN Legal business name Shadle, Kyle M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jan 16th, 2013 - about 12 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 1265533434 NPPES
Florida Other ARNP9186616 FL CRNA LICENSE
Florida Other G3766 FL CRNA LICENSE

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