KYLE JOREL CUSACK
NPI 1457018392
Student in an Organized Health Care Education/Training Program in San Diego, CA

Q: What is Kyle Cusack's NPI number?

The NPI number for Kyle Cusack is 1457018392. It was assigned to this individual provider in the NPPES registry on November 28, 2021.

Q: What is Kyle Cusack's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Cusack was last updated on November 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 November 28, 2021

7752 ROAN RD, SAN DIEGO, CA 92129(858) 776-3871 Get Directions Write a Review

NPPES record last updated: November 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kyle Jorel Cusack NPPES

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

KYLE JOREL CUSACK (NPI 1457018392) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1457018392

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKYLE JOREL CUSACK

Location Address7752 ROAN RDSan Diego, CA 92129-4509

Mailing Address158 Harmon DrNorthfield, VT 05663-1000

Phone(858) 776-3871

Sole ProprietorNo

Enumeration DateNovember 28, 2021

NPPES CertifiedNovember 28, 2021

✔ NPI 1457018392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

7752 ROAN RD, San Diego, CA 92129

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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 Kyle Cusack's NPI number?

The NPI number for Kyle Cusack is 1457018392. It was assigned to this individual provider in the NPPES registry on November 28, 2021.

Where is Kyle Cusack located?

Kyle Cusack practices at 7752 Roan Rd, San Diego, CA 92129. The listed phone number is (858) 776-3871.

What is Kyle Cusack's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kyle Cusack was last updated on November 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.