Provider Demographics
NPI:1609163856
Name:RASCHE, KYLE (CNIM)
Entity Type:Individual
Prefix:
First Name:KYLE
Middle Name:
Last Name:RASCHE
Suffix:
Gender:M
Credentials:CNIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 10TH AVE S
Mailing Address - Street 2:SUITE 411
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-4144
Mailing Address - Country:US
Mailing Address - Phone:615-712-9574
Mailing Address - Fax:615-730-8475
Practice Address - Street 1:209 10TH AVE S
Practice Address - Street 2:SUITE 411
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-4144
Practice Address - Country:US
Practice Address - Phone:615-712-9574
Practice Address - Fax:615-730-8475
Is Sole Proprietor?:No
Enumeration Date:2011-07-07
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist