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General NPI Number Information
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NPI Number | 1164206629
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Entity Type | Individual
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Provider Name | KYLE E MCINTYRE ARNP, DNP
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Gender | Male
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Dates
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Enumeration Date | 08/24/2023
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 1600 E JEFFERSON ST STE 115
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City | SEATTLE
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State | WA
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Zip | 98122-5643
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Country | US
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Telephone | 206-320-7200
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Fax | 206-397-1096
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Provider Business Mailing Address
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Address Line | PO BOX 25608
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City | SALT LAKE CITY
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State | UT
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Zip | 84125-0608
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Country | US
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Telephone | 206-320-4476
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Fax | 206-568-7043
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP61570049
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | AP61570049
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN60755713
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License Number State | WA
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