Doctor Name: | DR. KYLE HUNTER EAST |
NPI Number: | 1578996153 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT, RN |
License Number: | PTP-PT-LIC-5937 |
Business Practice Address: | Unit 3215 Box Sgoy Apo, AE - 090943215 |
Business Phone Number: | 3144807734 |
Business Fax Number: | |
Mailing Address: | Psc 2 Box 10595, APO |
State: | AE |
Postal Code: | 090120106 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/19/2013 |
NPI Last Update Date: | 01/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | PTP-PT-LIC-5937 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |