Individual
MR. KYLE CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
951 N LINN AVE, SUITE 3, NEW HAMPTON, IA 50659-1212
(641) 394-2505
Mailing address
951 N LINN AVE, SUITE 3, NEW HAMPTON, IA 50659-1212
(641) 394-2505
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001732
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619054764
GROUP NPI NUMBER
IA
01
—
1932286085
GROUP NPI NUMBER
IA
Enumeration date
04/07/2015
Last updated
04/07/2015
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