Kyle Redden Dalley

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

297540 Issued in NU

Practice address

20725 Highway 46 W
Spring Branch, TX 78070-6270

Phone

(830) 438-4010

NPI assigned

Jan 12, 2021

Last updated

Jan 12, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1568051886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20725 HIGHWAY 46 W",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706270",
            "telephone_number": "830-438-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20725 HIGHWAY 46 W",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706270",
            "telephone_number": "830-438-4010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "868 Fm 1854",
            "address_purpose": "LOCATION",
            "city": "Dale",
            "state": "TX",
            "postal_code": "786162707",
            "country_code": "US",
            "telephone_number": "512-779-7515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALLEY",
        "first_name": "KYLE",
        "middle_name": "REDDEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "TX",
            "license": "759564",
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "NU",
            "license": "297540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniela Cotter, PT
• Nicole M. Coughlin, DOULA
• Debra Ann Cuellar, PT
• Anne Curtis, APRN
• CVS Pharmacy Inc (CVS Pharmacy #10428)
• Stephen Neal Darnell, RPH
• Jessica Deitch
• Denise Katharine Denicolo, LPC
• Dermrepublic PLLC
• Mary Disbrow, LMFT-ASSOCIATE

• Pharmacy Technician in Spring Branch, TX
• Providers in Spring Branch, TX by specialty
• Pharmacy Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.