Stancy, Kyla Raye

Stancy, Kyla Raye is an individual health care provider with primary practice located at 385 Winnetka Ave , Winnetka IL 60093-4238. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Stancy, Kyla Raye can be contacted via phone (847) 784-6601.

Contact Information

Primary practice address
385 Winnetka Ave Winnetka IL 60093-4238
Phone: (847) 784-6601
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 096.003818 Illinois

Profile Details

NPI number 1598251266
LBN Legal business name Stancy, Kyla Raye
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2018
Last updated Jul 6th, 2018 - about 6 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 1598251266 NPPES
Illinois Other 096.003818 LICENCED ATHLETIC TRAINER

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