Kyle Hazelwood MD PLLC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

KYLE HAZELWOOD MD PLLC

Practice address

825 SE Bishop Blvd Ste 120
Pullman, WA 99163-5517

Phone

(509) 332-2828

NPI assigned

Jun 12, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kyle Hazelwood, MD

Title

Physician

Phone

(509) 332-2828

Specialties & licenses 1

Addresses

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Inland Orthopaedic Surgery and Sports Medicine Clinic PLLC

  • Orthopaedic Surgery Physician
  • Pullman, WA
  • NPI 1588279202

  Member Of

  NPD member
• Inland Orthopaedic Surgery and Sports Medicine Clinic PLLC

  • Orthopaedic Surgery Physician
  • Moscow, ID
  • NPI 1952877763

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1952831083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 SE BISHOP BLVD STE 120",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635517",
            "telephone_number": "509-332-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 SE BISHOP BLVD STE 120",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635517",
            "telephone_number": "509-332-2828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 W A St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Moscow",
            "state": "ID",
            "postal_code": "838436000",
            "country_code": "US",
            "telephone_number": "208-883-2828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KYLE HAZELWOOD MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HAZELWOOD",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "509-332-2828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Alan Knudtson, CRNA
• Gara Knudtson, DNAP, CRNA
• Scott Kuhle, LICENSED MH COUNSELO
• Dana Kujala, RDN
• Kazuki Kurosawa
• Gable Harvey Lacy
• Jessica Lainhart, PHARMD
• Christine Louise Land, APRN
• Julie Landers, M.A., CCC-SLP
• Heather Lannigan, LMSW

• Sports Medicine (Orthopaedic Surgery) Physician in Pullman, WA
• Providers in Pullman, WA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.