Thomas, Kyle Matthew

Thomas, Kyle Matthew is an individual health care provider with primary practice located at 55 Whitcher St Ne Ste 130 , Marietta GA 30060-1156. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Thomas, Kyle Matthew can be contacted via phone (770) 428-0462.

Contact Information

Primary practice address
55 Whitcher St Ne Ste 130 Marietta GA 30060-1156
Phone: (770) 428-0462
Fax: (770) 427-8001
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 5101020643 Michigan
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 34.014005 Ohio
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 86368 Georgia
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 86368 Georgia

Profile Details

NPI number 1447698220
LBN Legal business name Thomas, Kyle Matthew
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2013
Last updated Oct 1st, 2020 - about 5 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 1447698220 NPPES
Ohio MEDICAID 0366962

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