Individual
KYLE KLEINSCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3119 WASHINGTON AVE, ALTON, IL 62002-5473
(618) 463-9490
(618) 463-9491
Mailing address
3119 WASHINGTON AVE, ALTON, IL 62002-5473
(618) 463-9490
(618) 463-9491
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3207
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3207
HEARING AID DISPENSER LICENSE
IL
Enumeration date
07/28/2015
Last updated
07/28/2015
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