Kyle Swanson
Foot & Ankle Surgery
215 E 1st St Suite 310
Dixon
, Illinois 61021-3166
Kyle Swanson
Foot & Ankle Surgery
215 E 1st St Suite 310
Dixon
, Illinois 61021-3166
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Kyle Swanson
- 215 E 1st St Suite 310
- Dixon, IL
- Zip : 61021-3166
- Phone :
Second Address
- Kyle Swanson
- 215 E 1st St Suite 310
- Dixon, IL
- Zip : 61021-3166
- Fax : (815) 285-5699
- Phone : (515) 210-9777
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | 135000913 | IL |
National Provider Identifier
| NPI | 1053763664 |
|---|---|
| Provider Name | Kyle Swanson |
| First Address | Dixon, IL 61021-3166 |
| Second Address | Dixon, IL 61021-3166 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2016 |
| Last Update Date | 07/07/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 135000913 | PROFESSIONAL LICENSE (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.