Simmons, Kylie Jeanene

Simmons, Kylie Jeanene is an individual health care provider with primary practice located at 7604 Ne 5Th Ave , Vancouver WA 98665-8204. She recently has only one registered license in Dental Providers / Denturist, which is considered as her primary health care specialty. Simmons, Kylie Jeanene can be contacted via phone (877) 378-4899.

Contact Information

Primary practice address
7604 Ne 5Th Ave Vancouver WA 98665-8204
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X TP61099840 Washington

Profile Details

NPI number 1225605223
LBN Legal business name Simmons, Kylie Jeanene
Credentials TTP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2021
Last updated Jun 8th, 2021 - about 3 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.

Request for update

Popular Providers