Vance, Kyle Allan

Vance, Kyle Allan is an individual health care provider with primary practice located at 10433 S Redwood Rd Ste B , South Jordan UT 84095-8502. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Vance, Kyle Allan can be contacted via phone (801) 260-1919.

Contact Information

Primary practice address
10433 S Redwood Rd Ste B South Jordan UT 84095-8502
Phone: (801) 260-1919
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 11353630-1206 Utah

Profile Details

NPI number 1003469867
LBN Legal business name Vance, Kyle Allan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2019
Last updated Jul 22nd, 2019 - 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 1003469867 NPPES
Utah Other 11353630-1206 STATE LICENSE

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