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KYLE TIETZE
NPI 1699507301
Military Health Care Provider - Independent Duty Corpsman in Duluth, MN

Active since August 20, 2024
1201 MINNESOTA AVE, DULUTH, MN 55802(218) 529-3109 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kyle Tietze NPPES

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

KYLE TIETZE (NPI 1699507301) is an individual independent duty corpsman provider in Duluth, Minnesota and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1699507301
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameKYLE TIETZE
Location Address1201 MINNESOTA AVEDuluth, MN 55802-2424
Mailing Address1201 Minnesota AveDuluth, MN 55802-2424 · (218) 529-3109
Phone(218) 529-3109
Sole ProprietorNo
Enumeration DateAugust 20, 2024
NPPES CertifiedAugust 20, 2024
✔ NPI 1699507301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
1201 MINNESOTA AVE, Duluth, MN 55802
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Other Providers at the Same Location NPPES 3

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

MS. DAWN MARIE WIEZOREK
Technician, Other
1201 MINNESOTA AVE
DULUTH, MN 55802
St. Louis County (218) 529-3109
PAIGE OLIVIA NICHOLS
Military Health Care Provider (Independent Duty Medical Technicians)
1201 MINNESOTA AVE
DULUTH, MN 55802
St. Louis County (608) 279-9487
MR. CHRISTOPHER WAYNE HEBERT IDMT, HS
Technician, Other
1201 MINNESOTA AVE, USCGC ALDER (WLB-216)
DULUTH, MN 55802
St. Louis County (218) 529-3131

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 Tietze's NPI number?

The NPI number for Kyle Tietze is 1699507301. It was assigned to this individual provider in the NPPES registry on August 20, 2024.

Where is Kyle Tietze located?

Kyle Tietze practices at 1201 Minnesota Ave, Duluth, MN 55802. The listed phone number is (218) 529-3109.

What is Kyle Tietze's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Kyle Tietze was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.