KYLE EGERDAL (NPI# 1003432717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003432717 |
| Entity Type | Individual |
| Full Name | KYLE EGERDAL |
| Practice Address |
3900 W Brown Deer Rd Ste 200 Brown Deer WI 53209-1220 |
| Practice Telephone | 4145402170 |
| Mailing Telephone | 4145402170 |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2020-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
WI | Behavioral Health & Social Service Providers |
| Street Address |
3900 W BROWN DEER RD STE 200 |
| City | BROWN DEER |
| State | WI |
| Zip Code | 53209-1220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326006230 | Tracy Jenifer Faust | Counselor | 3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 | 2006-05-02 |
| 1720692080 | Holly Henderson | Counselor | 3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 | 2020-09-03 |
| 1093329344 | Sarah Denkert | Counselor | 3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 | 2020-09-03 |
| 1669086930 | Emily Prahlow | Marriage & Family Therapist | 3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 | 2020-09-03 |
| 1598380438 | Laurin Labonte | Counselor | 3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 | 2020-06-16 |
| 1780212837 | Flora Sewell Ripp | Counselor | 3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 | 2020-04-01 |
| 1235761420 | Ejay Faralan | Social Worker | 3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 | 2020-02-06 |
| 1740810498 | Shevonn Monte Tate | Counselor | 3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 | 2020-01-22 |
| 1861022501 | Kelli Zelinger | Social Worker | 3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 | 2020-01-22 |
| 1801437116 | Carly Bolli | Social Worker | 3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 | 2019-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
| 1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
| 1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
| 1669910469 | Dimera House | In Home Supportive Care | 4002 W Fairount Ave, Milwaukee, WI 53209 | 2017-02-01 |
| 1891248340 | Amy L May | Nurse Practitioner | 3303 W Good Hope Rd, Milwaukee, WI 53209 | 2016-08-02 |
| 1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
| 1104212380 | Reema Shah | Student in an Organized Health Care Education/Training Program | 2400 W. Villard Ave, Milwaukee, WI 53209 | 2015-04-14 |
| 1336534403 | Robert Michael Kitsis | Family Medicine | 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 | 2015-04-05 |
| 1962891994 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Public Health or Welfare | 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 | 2015-01-14 |
| 1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
| Find all providers in zip 53209 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
| 1528476900 | La Niseia Kendrae Cunningham I | Counselor | 4550 W Bradley Rd, Brown Deer, WI 53223-3713 | 2014-07-29 |
| 1902155856 | Bethe E. Bonk | Counselor | 3900 West Brown Deer Road, Suite 200, Brown Deer, WI 53209-1220 | 2012-09-06 |
| 1164442471 | Ember Beck | Counselor | 8200 W Brown Deer Rd, Suite 300a, Brown Deer, WI 53223-1706 | 2006-07-20 |
| 1720692080 | Holly Henderson | Counselor | 3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 | 2020-09-03 |
| 1093329344 | Sarah Denkert | Counselor | 3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 | 2020-09-03 |
| 1598380438 | Laurin Labonte | Counselor | 3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 | 2020-06-16 |
| 1619592573 | Kayla Moe | Counselor | 3900 W Brown Deer Rd, Brown Deer, WI 53209-1220 | 2020-06-16 |
| 1780212837 | Flora Sewell Ripp | Counselor | 3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 | 2020-04-01 |
| 1740810498 | Shevonn Monte Tate | Counselor | 3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209-1220 | 2020-01-22 |
| Find all providers in BROWN DEER | ||||
| City | BROWN DEER |
| Zip Code | 53209 |
Please comment or provide details below to improve the information on KYLE EGERDAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.