Kyle Prohovich, DR is a
Student In An Organized Health Care Education/training Program based in Windham, New Hampshire. Kyle Prohovich is licensed to practice in * (Not Available) (license number ) and his current practice location is
9 Faith Rd, Windham, New Hampshire. He can be reached at his office (for appointments etc.) via phone at
(617) 335-2650.
NPI number for Kyle Prohovich is 1174015887 and his current mailing address is 9 Faith Rd, Windham, New Hampshire. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174015887.
Healthcare Provider's Profile
| Full Name | Kyle Prohovich |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 9 Faith Rd, Windham, New Hampshire |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174015887
- Provider Enumeration Date: 05/30/2018
- Last Update Date: 10/30/2018
Medical Identifiers
Medical identifiers for Kyle Prohovich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174015887 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DN1857947 (Massachusetts) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kyle Prohovich is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kyle Prohovich, DR
9 Faith Rd,
Windham, NH 03087-1554
Ph: () - | Kyle Prohovich, DR
9 Faith Rd,
Windham, NH 03087-1554
Ph: (617) 335-2650 |
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