Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
KYLE J PROROK
Active
Individual
KYLE J PROROK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1607-226
WI
101YP2500X
Professional Counselor
Primary
5504-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376976738
—
WI
Enumeration date
08/20/2013
Last updated
08/25/2021
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