Individual
DR. KYLE O LYTHGOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 347-2511
Mailing address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 347-2511
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
554
NE
103TC0700X
Clinical Psychologist
Primary
554
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08436
BLUE CROSS BLUE SHIELD NE
NE
Enumeration date
08/15/2005
Last updated
03/19/2024
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