Michelson, Kyle Peter

Michelson, Kyle Peter is an individual health care provider with primary practice located at 5400 Excelsior Blvd , Saint Louis Park MN 55416-2913. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Michelson, Kyle Peter can be contacted via phone (952) 993-3190.

Contact Information

Primary practice address
5400 Excelsior Blvd Saint Louis Park MN 55416-2913
Phone: (952) 993-3190
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Urology 208800000X A199841 California
Allopathic & Osteopathic Physicians / Urology 208800000X 82624 Minnesota

Profile Details

NPI number 1073147468
LBN Legal business name Michelson, Kyle Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2020
Last updated Aug 12th, 2026 - about 2 months ago

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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