MS. KELLI MARIE KYLE (NPI# 1255304762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255304762 |
| Entity Type | Individual |
| Full Name | MS. KELLI MARIE KYLE |
| Credential | MS, PA-C, ATC |
| Practice Address |
1000 1st Drive Nw Mayo Clinic Health System Austin MN 55912 |
| Mailing Address |
1000 1st Dr Nw Austin MN 55912-2941 |
| Practice Telephone | 5074337351 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2020-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
1612 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
96001726 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 363A00000X | Physician Assistant | 11841 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
11841 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1000 1ST DRIVE NW MAYO CLINIC HEALTH SYSTEM |
| City | AUSTIN |
| State | MN |
| Zip Code | 55912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710538152 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 313 2nd Ave Ne, Austin, MN 55912 | 2019-09-26 |
| 1669029831 | David Kuehn | Specialist/Technologist | 1508 Main St. N, Austin, MN 55912 | 2019-08-22 |
| 1841844396 | Heather A Peterson | Social Worker | 101 21st Street Se, Austin, MN 55912 | 2019-08-01 |
| 1477058287 | Gerard Academy | Counselor | 1101 28th St Ne, Austin, MN 55912 | 2018-03-26 |
| 1821518739 | Steven Register | Specialist/Technologist | 1803 2nd Ave Sw, Austin, MN 55912 | 2017-06-21 |
| 1366849259 | Kristen Ashley Templeton | Dentist | 800 1st Avenue Sw, Austin, MN 55912 | 2014-11-20 |
| 1336560333 | Rem Woodvale, Inc. Cottonwood | Intermediate Care Facility, Mentally Retarded | 2311 9th Avenue Sw, Austin, MN 55912 | 2013-12-18 |
| 1780923458 | Kurt Baumgartner | Hearing Instrument Specialist | 507 1 St Nw, Austin, MN 55912 | 2013-01-31 |
| 1396059242 | Lorna Kay Siefke-harbor | Psychologist | 902 19th Ave Sw, Austin, MN 55912 | 2010-08-03 |
| 1972777068 | Stanley Brent Stutzman | Psychologist | 301 12 Place Nw, Austin, MN 55912 | 2008-04-18 |
| Find all providers in zip 55912 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124502794 | Joan Margaret Carroll | Physician Assistant | 3000 N, I-35, Suite 600, Austin, TX 78705 | 2018-09-19 |
| 1962988329 | Aucutt Surgical Services, Pllc | Physician Assistant | 6705 Melava Ct, Austin, TX 78749-6924 | 2018-07-18 |
| 1114307907 | Facilitate Surgical, Pllc | Physician Assistant | 2110 W Slaughter Ln Ste 107, #395, Austin, TX 78748-5978 | 2015-06-05 |
| 1265834220 | Heidi Burns | Physician Assistant | 3201 Esperanza Xing, Apt 237, Austin, TX 78758-7858 | 2014-09-22 |
| 1861812273 | Deborah Louise Sheffield | Physician Assistant | 13333 Black Canyon Dr, Austin, TX 78729-7482 | 2014-04-24 |
| 1508102559 | Gator Pa 1st Assist, LLC | Physician Assistant | 10900 Stonelake Blvd Ste A-320, Austin, TX 78759-5833 | 2012-12-19 |
| 1972853596 | Gileana Santana | Physician Assistant | 2200 Park Bend Drive, Bldg 2, Suite 201, Austin, TX 78758 | 2012-09-11 |
| 1952698524 | Sarah Marie Elmer | Physician Assistant | 6818 Austin Center Blvd Ste 204, Austin, TX 78731-3100 | 2011-07-05 |
| 1811221617 | Ryan Douglas Lester | Physician Assistant | 4611 Guadalupe Street, Suite 200, Austin, TX 78704 | 2009-09-25 |
| 1710150958 | Lauren Murdock Aseron | Physician Assistant | 6500 Mopac Expwy, Ste. 2207, Austin, TX 78731-4306 | 2008-04-09 |
| Find all providers in AUSTIN | ||||
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| 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.