Kyle J Credle, RN, SRNA is a
Student In An Organized Health Care Education/training Program based in Washington, District Of Columbia. Kyle J Credle is licensed to practice in Virginia (license number 0001318621) and his current practice location is
110 Irving St Nw Fl 2, Washington, District Of Columbia. He can be reached at his office (for appointments etc.) via phone at
(202) 877-7000.
NPI number for Kyle J Credle is 1013778943 and his current mailing address is 110 Irving St Nw Fl 2, Washington, District Of Columbia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013778943.
Provider's Profile
| Full Name | Kyle J Credle |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 110 Irving St Nw Fl 2, Washington, District Of Columbia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1013778943
- Provider Enumeration Date: 01/18/2024
- Last Update Date: 01/18/2024
Medical Identifiers
Medical identifiers for Kyle J Credle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013778943 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 0001318621 (Virginia) | Secondary |
| 163W00000X | Registered Nurse | RN1061906 (District Of Columbia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 0001318621 (Virginia) | 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 J Credle 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 J Credle, RN, SRNA
110 Irving St Nw Fl 2,
Washington, DC 20010-3017
Ph: () - | Kyle J Credle, RN, SRNA
110 Irving St Nw Fl 2,
Washington, DC 20010-3017
Ph: (202) 877-7000 |
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