David S Kyllo (NPI# 1003811464, PAC ID# 4385689108) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1003811464 |
| PAC ID by PECOS | 4385689108 |
| Professional Enrollment ID | I20050622001006 |
| Full Name | David S Kyllo |
| Address |
3460 Washington Dr Suite 102 Eagan MN 55122-4301 |
| Phone Number | 6514529240 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MINNESOTA MEDICAL SCHOOL |
| Graduation Year | 1979 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240063 | ST JOSEPH'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3460 Washington Dr, Suite 102, Eagan, MN 55122-4301 | 6514529240 |
| Street Address |
3460 WASHINGTON DR SUITE 102 |
| City | EAGAN |
| State | MN |
| Zip | 55122-4301 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne L Bushnell | Clinical Social Worker | Bhsi LLC | 3460 Washington Dr, Suite 200, Eagan, MN 55122-4302 |
| Sarah M Villafranca | Nurse Practitioner | Bhsi LLC | 3460 Washington Dr, Suite 200, Eagan, MN 55122-4302 |
| Daniel C Rebek | Psychologist, Clinical | Bhsi LLC | 3460 Washington Dr, Suite 200, Eagan, MN 55122-4302 |
| Christopher Burke | Psychologist, Clinical | Bhsi LLC | 3460 Washington Dr, Suite 200, Eagan, MN 55122-4302 |
| David D Gulden | Psychiatry | Bhsi LLC | 3460 Washington Dr, Suite 200, Eagan, MN 55122-4302 |
| John J Drucker | Psychiatry | Bhsi LLC | 3460 Washington Dr, Suite 200, Eagan, MN 55122-4302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Deckert | Chiropractic | 2020 Silver Bell Rd, Suite 9, Eagan, MN 55122-1050 | |
| Robert D Lukin | Chiropractic | 2020 Silver Bell Rd, Suite 9, Eagan, MN 55122-1050 | |
| Barbara A Kaiser | Chiropractic | 3435 Washington Dr, Suite 208, Eagan, MN 55122-1321 | |
| Erin E Carlson | Optometry | Eagan Eye Clinic | 3930 Cedar Grove Pkwy, Eagan, MN 55122-1403 |
| Benjamin E Stout | Optometry | Eagan Eye Clinic | 3930 Cedar Grove Pkwy, Eagan, MN 55122-1403 |
| Kathleen F Sadak | Pediatric Medicine | Fairview Clinics | 1440 Duckwood Dr, Eagan, MN 55122-1451 |
| Lindsay M Kuphal | Nurse Practitioner | Fairview Clinics | 1440 Duckwood Dr, Eagan, MN 55122-1451 |
| Michelle M Svihel | Physician Assistant | Fairview Clinics | 1440 Duckwood Dr, Eagan, MN 55122-1451 |
| Jeffrey R Michell | Family Medicine | Fairview Clinics | 1440 Duckwood Dr, Eagan, MN 55122-1451 |
| Kamiab Delfanian | Internal Medicine | Fairview Clinics | 1440 Duckwood Dr, Eagan, MN 55122-1451 |
| Find all physicians in zip 55122 | |||
| City | EAGAN |
| Zip Code | 55122 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | EAGAN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on David S Kyllo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.