NPI 1003432717

Kyle Egerdal

Practitioner Professional Counselor Madison, WI

Practice location

Address: 6709 Raymond Rd STE 174, Madison, WI 53719-3943
Phone: (608) 205-8587

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X

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Registry record

NPI: 1003432717
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jun 2020
Record last updated: 10 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.