Most Relevant Information
Provider Data
| NPI Number: | 1003811464 |
| Provider Name: | DAVID STUART KYLLO M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 25450 |
Most Important Dates
| Enumeration Date: | 06/14/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
3460 WASHINGTON DR
STE 102
EAGAN
MN
551224301
Practice Location Phone/Fax
| Phone: | 6514529240 |
| Fax: | 6514525440 |
Provider Mailing Location
3460 WASHINGTON DR
STE 102
EAGAN
MN
551224301
Provider Mailing Phone/Fax
| Phone: | 6514529240 |
| Fax: | 6514525440 |
Suggested EMR
Family Practice EMR