Healthcare Provider Details

I. General information

NPI: 1811384787
Provider Name (Legal Business Name): KYLE WESTLUND HEBER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2015
Last Update Date: 04/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3008 SILLECT AVE STE 240
BAKERSFIELD CA
93308-6326
US

IV. Provider business mailing address

PO BOX 1139
BAKERSFIELD CA
93302-1139
US

V. Phone/Fax

Practice location:
  • Phone: 661-616-9300
  • Fax: 661-616-9301
Mailing address:
  • Phone: 661-371-2796
  • Fax: 661-438-1746

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA152989
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: