Kyllo, David Stuart
Kyllo, David Stuart is an sole proprietor health care provider with primary practice located at 3460 Washington Dr Ste 102, Eagan MN 55122-4301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kyllo, David Stuart can be contacted via phone (651) 452-9240.Contact Information
Primary practice address
3460 Washington Dr Ste 102
Eagan MN 55122-4301
Phone: (651) 452-9240
Fax: (651) 452-5440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25450 | Minnesota |
Profile Details
| NPI number | 1003811464 |
|---|---|
| LBN Legal business name | Kyllo, David Stuart |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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