Dylan John Kielcheski

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

331 Sijen Ave
Whiteman AFB, MO 65305-1269

Phone

(660) 687-3798

NPI assigned

Jan 26, 2018

Last updated

Jan 26, 2018By 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 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": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1992203764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 SIJEN AVE",
            "city": "WHITEMAN AFB",
            "state": "MO",
            "postal_code": "653051269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 SIJEN AVE",
            "city": "WHITEMAN AFB",
            "state": "MO",
            "postal_code": "653051269",
            "telephone_number": "660-687-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIELCHESKI",
        "first_name": "DYLAN",
        "middle_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Michelle Jarvis, RDH
• Benjamin Dwayne Jones, PA-C
• Linda May Jones, MSW, ACSW, LCSW
• Tammy Colleen Karamarinov
• Mallory Peyton Kent
• Lauren Elise Koehn, PHARMD
• Shane A Lacaillade, IDMT
• Lauren Lang, APRN
• Michael Lee, RPH
• Jenna Clark Lewis, PSYD

• Independent Duty Medical Technicians in Whiteman AFB, MO
• Providers in Whiteman AFB, MO by specialty
• Independent Duty Medical Technicians in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; 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.