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David Stuart Kyllo

Family Doctor

3460 Washington Dr Ste 102
Eagan , Minnesota 55122-4301

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Image

David Stuart Kyllo

Family Doctor

3460 Washington Dr Ste 102
Eagan , Minnesota 55122-4301

(651) 452-5440

Write a Review Save Call

David Stuart Kyllo

Family Doctor

3460 Washington Dr Ste 102
Eagan , Minnesota 55122-4301

(651) 452-5440 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor

Languages spoken

  • English

Location

3460 Washington Dr Ste 102 Eagan , Minnesota 55122-4301

First Address

  • David Stuart Kyllo
  • 3460 Washington Dr Ste 102
  • Eagan, MN
  • Zip : 55122-4301
  • Fax : (651) 452-5440
  • Phone : (651) 452-9240

Second Address

  • David Stuart Kyllo
  • 3460 Washington Dr Ste 102
  • Eagan, MN
  • Zip : 55122-4301
  • Fax : (651) 452-5440
  • Phone : (651) 452-9240

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FAQs


Where did David Stuart Kyllo attend graduate school?

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Where did David Stuart Kyllo do his residency?

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Where did David Stuart Kyllo do his fellowship?

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Is David Stuart Kyllo board certified?

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What type of doctor is David Stuart Kyllo

Family Doctor

In what state does David Stuart Kyllo practice in?

Minnesota

Where is David Stuart Kyllo ’s practice located?

3460 Washington Dr Ste 102 , Eagan, Minnesota, 55122-4301

What is David Stuart Kyllo ’s gender?

Male

Is David Stuart Kyllo a sole practitioner?

No

Is David Stuart Kyllo accepting new patients?

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What languages does David Stuart Kyllo speak?

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Does David Stuart Kyllo accept insurance?

Yes, David Stuart Kyllo accepts insurance

Does David Stuart Kyllo offers telemedicine?

David Stuart Kyllo has not indicated if he offers telemedicine

What is David Stuart Kyllo ’s professional license number?

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What is David Stuart Kyllo ’s NPI number?

1003811464

Does David Stuart Kyllo have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207Q00000X Family Doctor 25450 MN

National Provider Identifier

NPI 1003811464
Provider Name David Stuart Kyllo
First Address Eagan, MN 55122-4301
Second Address Eagan, MN 55122-4301
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 14/06/2005
Last Update Date 08/07/2007

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
A95834 (02) MN

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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