Provider Demographics
NPI:1306398128
Name:ORFIELD, KYLE ANDREW (HIS)
Entity Type:Individual
Prefix:MR
First Name:KYLE
Middle Name:ANDREW
Last Name:ORFIELD
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5843 SW 75TH ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-8513
Mailing Address - Country:US
Mailing Address - Phone:352-335-4327
Mailing Address - Fax:352-335-4331
Practice Address - Street 1:5843 SW 75TH ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-8513
Practice Address - Country:US
Practice Address - Phone:352-335-4327
Practice Address - Fax:352-335-4331
Is Sole Proprietor?:No
Enumeration Date:2016-10-27
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5235237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist