Lythgoe, Kyle O

Lythgoe, Kyle O is an individual health care provider with primary practice located at 113 Comanche Rd , Fort Meade SD 57741-1002. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Lythgoe, Kyle O can be contacted via phone (605) 347-2511.

Contact Information

Primary practice address
113 Comanche Rd Fort Meade SD 57741-1002
Phone: (605) 347-2511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 554 Nebraska
Behavioral Health & Social Service Providers / Clinical 103TC0700X 554 Nebraska

Profile Details

NPI number 1174525653
LBN Legal business name Lythgoe, Kyle O
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Mar 19th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174525653 NPPES
Nebraska Other 08436 BLUE CROSS BLUE SHIELD NE

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