Provider Demographics
NPI:1588109128
Name:KYHL, SHAWN K (MA)
Entity type:Individual
Prefix:MR
First Name:SHAWN
Middle Name:K
Last Name:KYHL
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1200 PLEASANT ST
Mailing Address - Street 2:YOUNKER 308
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-1406
Mailing Address - Country:US
Mailing Address - Phone:515-263-5578
Mailing Address - Fax:515-241-5137
Practice Address - Street 1:1200 PLEASANT ST
Practice Address - Street 2:YOUNKER 308
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-1406
Practice Address - Country:US
Practice Address - Phone:515-263-5578
Practice Address - Fax:515-241-5137
Is Sole Proprietor?:No
Enumeration Date:2017-01-05
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA01468235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist