NPI 1003811464

David Stuart Kyllo, MD

Practitioner Family Medicine Physician Eagan, MN

Practice location

Address: 3460 Washington Dr STE 102, Eagan, MN 55122-4301
Phone: (651) 452-9240
Fax: (651) 452-5440

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 25450 (MN)

Other Family Medicine providers in Minnesota →

Registry record

NPI: 1003811464
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jun 2005
Record last updated: 8 Jul 2007

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.