Wilson, Kyle Jonathan

Wilson, Kyle Jonathan is an individual health care provider with primary practice located at 520 Pope Ave , Fort Leavenworth KS 66027-2332. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Wilson, Kyle Jonathan can be contacted via phone (913) 684-5516.

Contact Information

Primary practice address
520 Pope Ave Fort Leavenworth KS 66027-2332
Phone: (913) 684-5516
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 61861 Kansas

Profile Details

NPI number 1649919846
LBN Legal business name Wilson, Kyle Jonathan
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2022
Last updated Mar 28th, 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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