Provider Demographics
NPI:1033973466
Name:DELIN, KYLE MEL SKRZYSINSKI
Entity Type:Individual
Prefix:MR
First Name:KYLE MEL
Middle Name:SKRZYSINSKI
Last Name:DELIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6630 WESTBURY OAKS CT
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-2518
Mailing Address - Country:US
Mailing Address - Phone:504-912-3068
Mailing Address - Fax:
Practice Address - Street 1:6630 WESTBURY OAKS CT
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22152-2518
Practice Address - Country:US
Practice Address - Phone:504-912-3068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Single Specialty