Stephenson, Kyle
Stephenson, Kyle is an sole proprietor health care provider with primary practice located at 3125 S Scatterfield Rd Ste 210 , Anderson IN 46013. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Stephenson, Kyle can be contacted via phone (765) 298-4311.Contact Information
Primary practice address
3125 S Scatterfield Rd Ste 210
Anderson IN 46013
Phone: (765) 298-4311
Fax: (765) 298-4312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 02005437A | Indiana |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 02005437A | Indiana |
Profile Details
| NPI number | 1750647608 |
|---|---|
| LBN Legal business name | Stephenson, Kyle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2012 |
| Last updated | Nov 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750647608 | NPPES |
| Indiana | MEDICAID | 300015335 |
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