Individual
KYLE P CHRISTIASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2624 ORCHARD DR, CEDAR FALLS, IA 50613-5845
(319) 277-1990
(319) 277-0572
Mailing address
2624 ORCHARD DR, CEDAR FALLS, IA 50613-5845
(319) 277-1990
(319) 277-0572
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32931
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0184556
—
IA
01
—
080137772
RR MEDICARE
IA
05
—
1184556
—
IA
05
—
1396722468
—
IA
Enumeration date
12/29/2005
Last updated
05/17/2012
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