DAVID STUART KYLLO M.D.
NPI 1003811464
Family Medicine in Eagan, MN

Q: What is David Kyllo's NPI number?

The NPI number for David Kyllo is 1003811464. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Q: What is David Kyllo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for David Kyllo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 14, 2005

3460 WASHINGTON DR, STE 102, EAGAN, MN 55122(651) 452-9240(651) 452-5440 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About David Stuart Kyllo M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID STUART KYLLO M.D. (NPI 1003811464) is an individual family medicine provider in Eagan, Minnesota, licensed in Minnesota (25450) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1003811464

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDAVID STUART KYLLOCredential: M.D.

Location Address3460 WASHINGTON DR, STE 102Eagan, MN 55122-4301

Mailing Address3460 Washington Dr, Ste 102Eagan, MN 55122-4301 · (651) 452-9240 · Fax (651) 452-5440

Phone(651) 452-9240

Fax(651) 452-5440

Sole ProprietorYes

Enumeration DateJune 14, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1003811464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 25450

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3460 WASHINGTON DR, Eagan, MN 55122

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Other Identifiers 1

Medicare UPINA95834MN

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMBER JOHN

Counselor (Mental Health)

3460 WASHINGTON DR, 110
EAGAN, MN 55122

Dakota County (651) 688-0488

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Kyllo's NPI number?

The NPI number for David Kyllo is 1003811464. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Where is David Kyllo located?

David Kyllo practices at 3460 Washington Dr Ste 102, Eagan, MN 55122. The listed phone number is (651) 452-9240.

What is David Kyllo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for David Kyllo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.