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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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 1750647608 NPPES
Indiana MEDICAID 300015335

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