# KENVELO2

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184353310
- **Authorized official:** EDUARD TSYRULNYKOV (OWNER)
- **Authorized official phone:** (414) 915-5665

## Contact information

- **Practice address:** 66 W FLAGLER ST STE 900, MIAMI, FL 33130-1807
- **Practice address phone:** (414) 915-5665
- **Mailing address:** 66 W FLAGLER ST STE 900, MIAMI, FL 33130-1807
- **Mailing address phone:** (414) 915-5665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/04/2022
- **Last updated:** 08/21/2023