Van De Graaff, Kyle M
Van De Graaff, Kyle M is an individual health care provider with primary practice located at 444 Nw Elks Dr , Corvallis OR 97330-3745. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Van De Graaff, Kyle M can be contacted via phone (541) 754-1252.Contact Information
Primary practice address
444 Nw Elks Dr
Corvallis OR 97330-3745
Phone: (541) 754-1252
Fax: (541) 754-2772
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD152734 | Oregon |
Profile Details
| NPI number | 1770577025 |
|---|---|
| LBN Legal business name | Van De Graaff, Kyle M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2005 |
| Last updated | Aug 31st, 2010 - about 14 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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