Kyle Lewis in Jackson - Ophthalmic Plastic And Reconstructive Surgery

Kyle Lewis - NPI 1902017924

Kyle Lewis is a Ophthalmic Plastic And Reconstructive Surgery in Jackson, Mississippi. Kyle Lewis practices all healthcare services and medical treatments related to Ophthalmic Plastic And Reconstructive Surgery. The NPI Number for Kyle Lewis is 1902017924. The last update date is 2018-10-08.

Kyle Lewis's current location address is 2500 North State Street, Jackson, Mississippi. You can contact this provider via phone number 6019846426 and fax number 6019846439. The mailing address for Kyle Lewis is 2500 North State Street, Jackson, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Kyle Lewis
Address 2500 North State Street, Jackson, Mississippi
Phone Number 6019846426
Fax Number 6019846439
Sole Proprietor N
Credentials M. D.

NPI Number Detail

NPI Number 1902017924
Provider Enumeration Date 2007-05-24
Last Updated Date 2018-10-08

Provider Mailing Address Detail

Address 2500 North State Street
City Jackson
State Mississippi (MS)
Post Code 392164500
Phone Number 6019846426
Fax Number 6019846439

Provider's Primary Taxonomy Detail

Speciality Ophthalmic Plastic And Reconstructive Surgery
Taxonomy 207Wx0200X
Licence No 20538
Definition:
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and la

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1823221 MS --
302I188328 MS PTAN

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FAQs about Kyle Lewis

What is the unique 10-digit identifier code assigned to Kyle Lewis by the Centers for Medicare & Medicaid Services?

The Kyle Lewis has been issued the NPI (National Provider Identifier) 1902017924 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Kyle Lewis's facilities are situated?

The facilities of Kyle Lewis are physically located at the following address: 2500 North State Street, Jackson, MS, 392164500.

What is the area of specialization for Kyle Lewis, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kyle Lewis is Ophthalmic Plastic And Reconstructive Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 207Wx0200X.

On what date did the Centers for Medicare & Medicaid Services issue the 1902017924 to Kyle Lewis?

The Kyle Lewis received its 1902017924 assignment from the Centers for Medicare & Medicaid Services on 2007-05-24.

When was the information related to Kyle Lewis most recently updated or refreshed?

The details pertaining to the Kyle Lewis, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-10-08.

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