Kyle Dee Delotell

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

8843 State Route 335
Minford, OH 45653-8669

Phone

(419) 310-7036

NPI assigned

Jul 19, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1265112767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 HOGAN ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456626423",
            "telephone_number": "740-876-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8843 STATE ROUTE 335",
            "city": "MINFORD",
            "state": "OH",
            "postal_code": "456538669",
            "telephone_number": "419-310-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOTELL",
        "first_name": "KYLE",
        "middle_name": "DEE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donya Cassidy, RN, BSN
• Henry Collins
• Sandra Gail Comer
• Kayla Coriell
• Amy Lynn Delotell
• Danielle Devinny
• Cheryl E. Dheel
• First Choice Home Healthcare Solutions LLC
• Tammy Frazie
• Carolyn Grooms

• All providers in Minford, OH
• Community Health Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.