Kyle Prohovich, DR in Windham, NH - Student in an Organized Health Care Education/Training Program

Kyle Prohovich, DR is a Student In An Organized Health Care Education/training Program based in Windham, New Hampshire. Kyle Prohovich is licensed to practice in * (Not Available) (license number ) and his current practice location is 9 Faith Rd, Windham, New Hampshire. He can be reached at his office (for appointments etc.) via phone at (617) 335-2650.

NPI number for Kyle Prohovich is 1174015887 and his current mailing address is 9 Faith Rd, Windham, New Hampshire. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174015887.

Contact Information

	Kyle Prohovich, DR
	9 Faith Rd, Windham, NH 03087-1554
	(617) 335-2650
	Not Available

Healthcare Provider's Profile

Full Name	Kyle Prohovich
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	9 Faith Rd, Windham, New Hampshire
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1174015887
Provider Enumeration Date: 05/30/2018
Last Update Date: 10/30/2018

Medical Identifiers

Medical identifiers for Kyle Prohovich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174015887	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DN1857947 (Massachusetts)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kyle Prohovich is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kyle Prohovich, DR 9 Faith Rd, Windham, NH 03087-1554 Ph: () -	Kyle Prohovich, DR 9 Faith Rd, Windham, NH 03087-1554 Ph: (617) 335-2650

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Kyle Prohovich, DR - in Windham, NH