MEDICARE: KYLE A DOWNING

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
1	172V00000X	Community Health Worker
2	225100000X	Physical Therapist	PT33239	FL

General Provider Information

NPI Number	:	1821434762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KYLE A DOWNING

Provider Business Mailing Address
First Line	:	10300 W 76TH ST APT 104
Second Line	:
City	:	SHAWNEE
State	:	KS
Zip	:	66214-1208
Country	:	US
Telephone Number	:	913-426-7851
Fax Number	:

Provider Business Practice Location Address
First Line	:	2626 CYPRESS RIDGE BLVD STE 104
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33544-6315
Country	:	US
Telephone Number	:	813-991-7193
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2013
Last Update Date	:	03/17/2018

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Directions to “ KYLE A DOWNING ” Practice Location

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