Kyle B Heron in Modesto - Interventional Pain Medicine
Kyle B Heron - NPI 1912918962
Kyle B Heron is a Interventional Pain Medicine in Modesto, California. Kyle B Heron practices all healthcare services and medical treatments related to Interventional Pain Medicine. The NPI Number for Kyle B Heron is 1912918962. The last update date is 2020-05-26.
Kyle B Heron's current location address is 4016 Dale Rd, Modesto, California. You can contact this provider via phone number 2095710288 and fax number 2093386156. The mailing address for Kyle B Heron is 4016 Dale Rd, Modesto, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kyle B Heron |
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Address | 4016 Dale Rd, Modesto, California |
Phone Number | 2095710288 |
Fax Number | 2093386156 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1912918962 |
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Provider Enumeration Date | 2006-08-11 |
Last Updated Date | 2020-05-26 |
Provider Mailing Address Detail
Address | 4016 Dale Rd |
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City | Modesto |
State | California (CA) |
Post Code | 953569268 |
Phone Number | 2095710288 |
Fax Number | 2093386156 |
Provider's Primary Taxonomy Detail
Speciality | Interventional Pain Medicine |
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Taxonomy | 208Vp0014X |
Licence No | G83786 |
Definition: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable p |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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11628489 | CA | CAQH |
Post Comment/ Review Below
What is the unique identifier code issued to Kyle B Heron by the Centers for Medicare & Medicaid Services?
The Kyle B Heron has been assigned the NPI (National Provider Identifier) 1912918962. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kyle B Heron is geographically located?
The Kyle B Heron is physically situated at the following location: 4016 Dale Rd, Modesto, CA, 953569268.
What is the area of specialization for Kyle B Heron, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kyle B Heron is Interventional Pain Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 208Vp0014X.
On what date did the Kyle B Heron receive its 1912918962 assignment from the Centers for Medicare & Medicaid Services?
The Kyle B Heron was assigned its 1912918962 by the Centers for Medicare & Medicaid Services on 2006-08-11.
As of what date was the information regarding Kyle B Heron, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kyle B Heron, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-05-26.