Kyllo, Jennifer H

Kyllo, Jennifer H is an individual health care provider with primary practice located at Children'S Specialty Clinic-Diabetes/Endocrinology-Stpl 347 North Smith Avenue, St Paul MN 55102. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as her primary health care specialty. Kyllo, Jennifer H can be contacted via phone (651) 220-6818.

Contact Information

Primary practice address
Children'S Specialty Clinic-Diabetes/Endocrinology-Stpl 347 North Smith Avenue St Paul MN 55102
Phone: (651) 220-6818
Fax: (651) 220-6064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 39114 Minnesota

Profile Details

NPI number 1679565774
LBN Legal business name Kyllo, Jennifer H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Aug 30th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679565774 NPPES
Minnesota MEDICAID 328214700

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