Kyle J Cusack
Student in an Organized Health Care Education/Training Program in San Diego, California
1457018392- Practice location
- 7752 Roan RD, San Diego, CA 92129-4509
- Phone
- 858-776-3871
- Fax
- —
- Last updated
- November 28, 2021
Kyle Jorel Cusack is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Kyle Jorel Cusack practices in San Diego, CA. The NPI Number for Kyle Jorel Cusack is 1457018392. The current practice location address for Kyle Jorel Cusack is 7752 Roan RD, San Diego, CA 92129-4509 and can be reached out via phone at 858-776-3871.
Provider Profile Details
- NPI Number
- 1457018392
- Provider Name
- Kyle Jorel Cusack
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 7752 Roan RD, San Diego, CA 92129-4509
- Phone Number
- 858-776-3871
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 28, 2021
- Last Update Date
- November 28, 2021
- Certification Date
- November 28, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 7752 Roan RD
San Diego, CA 92129-4509 - City
- San Diego
- State
- California
- Zip
- 92129-4509
- Phone Number
- 858-776-3871
Provider Business Mailing Address Details
- Address
- 158 Harmon Dr
Northfield, VT 05663-1000 - City
- Northfield
- State
- VT
- Zip
- 05663-1000
License Information
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kyle J Cusack?
The NPI number of Kyle J Cusack is 1457018392. It was assigned on November 28, 2021 and is currently active in the NPPES registry.
What is the specialty of Kyle J Cusack?
Kyle J Cusack is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Kyle J Cusack practice?
The practice location is 7752 Roan RD, San Diego, CA 92129-4509. The office can be reached at 858-776-3871 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457018392 directly on the NPPES registry website.