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NPI Code Detail

MEDICARE: KYLE DOSAN

MEDICARE:   KYLE  DOSAN
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
1390200000XStudent in an Organized Health Care Education/Training ProgramMN

General Provider Information

NPI Number : 1164386231
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLE DOSAN
Provider Business Mailing Address
First Line : 1200 KENWOOD AVE
Second Line :
City : DULUTH
State : MN
Zip : 55811-4199
Country : US
Telephone Number : 218-723-6000
Fax Number :
Provider Business Practice Location Address
First Line : 1200 KENWOOD AVE
Second Line :
City : DULUTH
State : MN
Zip : 55811-4199
Country : US
Telephone Number : 218-723-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2025
Last Update Date : 12/12/2025

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Directions to “ KYLE DOSAN ” Practice Location

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