Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KYLE TIETZE
ActiveKYLE TIETZE is a Independent Duty Corpsman healthcare provider located in DULUTH, Minnesota. NPI 1699507301 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Corpsman · DULUTH, MN
Registration Details
- NPI Number
- 1699507301
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 20, 2024 (2.0131741966173 yrs)
- Last Updated
- Aug 20, 2024
Practice Information
- Address
-
1201 MINNESOTA AVEDULUTH, MN, 558022424Browse MN providers · Browse ZIP 55802
- Phone
- 2185293109
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.