KAYLE M PRINCE


Address: Unit 2310 Box 47, Dpo, AE 09816-0047
Phone: 211260357000

KAYLE M PRINCE (NPI# 1164526612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164526612
Entity Type Individual
Full Name KAYLE M PRINCE
Credential NP
Practice Address Unit 2310 Box 47
Dpo
AE 09816-0047
Practice Telephone 211260357000
Mailing Telephone 260211357000
Enumeration Date 2006-09-12
Last Update Date 2011-04-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
33178 MT Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MT 4309466 05
MT 4309461 05
MT BCBS 370831 01

Office Location

Street Address UNIT 2310 BOX 47
City DPO
State AE
Zip Code 09816-0047

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053863282 Prachanda Khadka Nurse Practitioner Cmr 402, Landstuhl Regional Medical Center, Apo, AE 09180-0000 2016-11-04

Competitor

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City DPO
Zip Code 09816

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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