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NPI Code Detail

MEDICARE: KYLIE STUHAUG

MEDICARE: KYLIE STUHAUG
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 Pathologist2436ND

General Provider Information

NPI Number : 1538843149
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLIE STUHAUG
Provider Business Mailing Address
First Line : 2200 20TH ST SW
Second Line :
City : JAMESTOWN
State : ND
Zip : 58401-7500
Country : US
Telephone Number : 701-252-3850
Fax Number : 701-952-1450
Provider Business Practice Location Address
First Line : 4152 30TH AVE S
Second Line :
City : FARGO
State : ND
Zip : 58104-8524
Country : US
Telephone Number : 701-552-3968
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2023
Last Update Date : 02/03/2026

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Directions to “ KYLIE STUHAUG ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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