Individual
DR. KYLE ALAN CASSIDY-WESCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 WABASHA ST S, SAINT PAUL, MN 55107-1805
(952) 853-8800
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801-2500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036167181
IL
207Q00000X
Family Medicine Physician
Primary
77850
MN
207Q00000X
Family Medicine Physician
MD-48731
IA
Other
Enumeration date
05/23/2018
Last updated
05/08/2026
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