Kyle Dixon
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Poland, OH
NPI 1083170658 · NPPES record last updated Feb 19, 2019
Key facts
- NPI
- 1083170658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 6064 Pawnee PL
Poland, OH 44514-1854 - Phone
- (330) 261-4387
- NPI assigned
- Feb 19, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes | ||
| Athletic Trainer | 2255A2300X |
Addresses
Primary practice location
6064 Pawnee PL
Poland, OH 44514-1854
Mailing address
6064 Pawnee PL
Poland, OH 44514-1854
Phone (330) 261-4387
Other providers in Poland, OH
- Justine Dikun
- Brittany A Dimuzio
- Shannan Nicole Dinger
- Laurent Dinopoulos
- Thomas A Divito
- Dr James M. Kover O.D. Eye Care. PA, Co.
- Dr. William S. Diorio, Inc.
- Robert Dray III
- Arthur W Duran
- Eat Well to Be Well, LLC
All providers in Poland, OH · Student in an Organized Health Care Education/Training Program in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.