MEDICARE: KYLE J KROYMANN PA

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	363AS0400X	Surgical Physician Assistant

General Provider Information

NPI Number	:	1760952238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KYLE J KROYMANN PA

Provider Business Mailing Address
First Line	:	202 10TH ST SE
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52403-2414
Country	:	US
Telephone Number	:	319-247-3010
Fax Number	:	319-247-3010

Provider Business Practice Location Address
First Line	:	411 10TH ST SE STE 2300
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52403-2467
Country	:	US
Telephone Number	:	319-731-1430
Fax Number	:	319-356-3949

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

Provider Enumeration Date	:	11/27/2018
Last Update Date	:	11/10/2025

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