Mr Kyle Joseph Henry, | |
19042 Soledad Canyon Rd, Santa Clarita, CA 91351-3362 | |
(661) 251-6300 | |
Not Available |
Full Name | Mr Kyle Joseph Henry |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 19042 Soledad Canyon Rd, Santa Clarita, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932891124 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95025257 (California) | Primary |
Entity Name | Sc Medical, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992078000 PECOS PAC ID: 6305001439 Enrollment ID: O20120622000394 |
Mailing Address | Practice Location Address |
---|---|
Mr Kyle Joseph Henry, 5820 Woodman Ave, Van Nuys, CA 91401-4429 Ph: (661) 478-7151 | Mr Kyle Joseph Henry, 19042 Soledad Canyon Rd, Santa Clarita, CA 91351-3362 Ph: (661) 251-6300 |
Mrs. Natalie Pierre Oduwo-oketch, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 28309 Alfreds Way, Santa Clarita, CA 91350 Phone: 310-592-4567 | |
Anthony Binala Pascual, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18134 Jupiter Ln, Santa Clarita, CA 91350 Phone: 818-730-3950 | |
Mrs. Valerie Jean Malinoski, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24355 Lyons Ave, Santa Clarita, CA 91321 Phone: 661-255-9355 | |
Mutiatu Morayo Jarrett, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22316 Hideout Ct, Santa Clarita, CA 91390 Phone: 818-209-3506 | |
Yasmin Bahrami, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19231 Soledad Canyon Rd, Santa Clarita, CA 91351 Phone: 661-260-3155 | |
Mrs. Valerie Nicole Barkon, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22905 Banyan Pl Unit 227, Santa Clarita, CA 91390 Phone: 805-660-0666 | |
Beverly Jeanne Kemmerling, ANP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26455 Rockwell Canyon Rd, Coc Student Health & Wellness Center, Santa Clarita, CA 91355 Phone: 661-362-3259 Fax: 661-362-5051 |