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Contact Information

KYLE R ELLIOTT, NP
1101 MOULTON AND PARSONS DR
SAINT JAMES, MN56081-5550
 Phone: 507-375-3261
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KYLE R ELLIOTT · (Male)

NPI Number 1023478146
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 03/02/2016
Last updated 10/26/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MN License # CNP 4392
  • WI License # 6832-33
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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