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NPI Code Detail

MEDICARE: KYLE LENNON SUNDLAND

MEDICARE: KYLE LENNON SUNDLAND
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
11041C0700XClinical Social Worker8722-CNV

General Provider Information

NPI Number : 1336433515
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLE LENNON SUNDLAND
Provider Business Mailing Address
First Line : 580 W 5TH ST
Second Line :
City : RENO
State : NV
Zip : 89503-4407
Country : US
Telephone Number : 775-786-4673
Fax Number : 775-348-2889
Provider Business Practice Location Address
First Line : 1905 E 4TH ST
Second Line :
City : RENO
State : NV
Zip : 89512-3789
Country : US
Telephone Number : 775-786-4673
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2011
Last Update Date : 11/13/2025

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Directions to “ KYLE LENNON SUNDLAND ” Practice Location

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