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NPI Code Detail

MEDICARE: KYLE BROUWER

MEDICARE: KYLE BROUWER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist
2101YM0800XMental Health Counselor14506NE

General Provider Information

NPI Number : 1164738977
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLE BROUWER
Provider Business Mailing Address
First Line : 1800 W PASEWALK AVE STE A
Second Line :
City : NORFOLK
State : NE
Zip : 68701-5657
Country : US
Telephone Number : 402-500-6870
Fax Number :
Provider Business Practice Location Address
First Line : 1800 W PASEWALK AVE STE A
Second Line :
City : NORFOLK
State : NE
Zip : 68701-5657
Country : US
Telephone Number : 402-500-6870
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2010
Last Update Date : 07/02/2025

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Directions to “ KYLE BROUWER ” Practice Location

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