Provider Demographics
NPI:1578919031
Name:ARCARO, KYLE
Entity Type:Individual
Prefix:
First Name:KYLE
Middle Name:
Last Name:ARCARO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1546 HALO ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43240-8003
Mailing Address - Country:US
Mailing Address - Phone:216-287-9425
Mailing Address - Fax:
Practice Address - Street 1:1546 HALO ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43240-8003
Practice Address - Country:US
Practice Address - Phone:216-287-9425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-13
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program