Shaver, Kyle John

Shaver, Kyle John is an individual health care provider with primary practice located at 1253 Nw Canal Blvd , Redmond OR 97756-1334. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Shaver, Kyle John can be contacted via phone (541) 548-8131.

Contact Information

Primary practice address
1253 Nw Canal Blvd Redmond OR 97756-1334
Fax: (541) 460-4028
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD27338 Oregon

Profile Details

NPI number 1639241763
LBN Legal business name Shaver, Kyle John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Dec 4th, 2023 - about last year

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 1639241763 NPPES
Other 055542005 BCBS
MEDICAID 057237 BCBS
Other 930021553 BCBS
Other 56097 BCBS
Other C98636 BCBS
Other C98636 BCBS

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