David Kyllo, M.D

InactiveIndividual ProviderFamily Medicine
NPI issued: June 14, 2005

Quick Facts

NPI Number
1003811464
TypeIndividual
StatusInactive
SpecialtyFamily Medicine
Taxonomy207Q00000X — Family Medicine
Phone
(651) 452-9240
StateMN

NPI Validation Status: Deactivated

✅Valid 10-digit NPI number (1003811464)
❌Active status: Deactivated / Inactive
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (June 14, 2005)
Data source: CMS NPPES

Provider Overview

DAVID KYLLO, M.D is a Family Medicine provider based in Eagan, MN who has been registered with CMS since 2005. This NPI is currently Deactivated under CMS NPPES registry.

Provider Details

NPI Number1003811464
Provider TypeIndividual Provider
GenderMale
CredentialM.D
StatusInactive
Enumeration DateJune 14, 2005

Practice Location

CityEagan
StateMN
ZIP Code55122-4301
Phone(651) 452-9240

Specialties & Licenses

★ Primary
SpecialtyFamily Medicine
Taxonomy Code207Q00000X
License StateMN

Mailing Address

CityEagan
StateMN
ZIP Code55122-4301
Phone(651) 452-9240
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1003811464 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1003811464for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

👤

For Patients

Share NPI 1003811464 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

Browse all Family Medicineproviders →
📊
199,317
Family Medicine Providers in the US

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People Also Ask

What is David Kyllo's NPI number?
David Kyllo's NPI number is 1003811464, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is David Kyllo's NPI currently active?
No, David Kyllo's NPI status is Inactive as of the latest CMS NPPES database updates.
What does David Kyllo specialize in?
David Kyllo specializes in Family Medicine. The healthcare taxonomy code associated with this specialty is 207Q00000X.
Where does David Kyllo practice?
David Kyllo practices in Eagan, MN 55122-4301.
When was David Kyllo's NPI issued?
David Kyllo's NPI was issued on June 14, 2005.
What is David Kyllo's provider type?
David Kyllo is registered as an Individual Provider under CMS NPI Type 1.