Shannon, Kyle

Shannon, Kyle is an sole proprietor health care provider with primary practice located at 1130 W Broad St Ste 101 , Bethlehem PA 18018-4926. He recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Metabolic, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is his primary health care specialty. Shannon, Kyle can be contacted via phone (484) 554-9638.

Contact Information

Primary practice address
1130 W Broad St Ste 101 Bethlehem PA 18018-4926
Phone: (484) 554-9638
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1871130591
LBN Legal business name Shannon, Kyle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2019
Last updated Dec 20th, 2019 - 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.

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