Wahlstrom, Kyle L

Wahlstrom, Kyle L is an individual health care provider with primary practice located at 310 Smith Ave N , Saint Paul MN 55102-2393. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Wahlstrom, Kyle L can be contacted via phone (952) 843-4333.

Contact Information

Primary practice address
310 Smith Ave N Saint Paul MN 55102-2393
Fax: (952) 843-4301
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 39709 Minnesota

Profile Details

NPI number 1528033073
LBN Legal business name Wahlstrom, Kyle L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
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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