Provider Demographics
NPI:1811645518
Name:RUMSCHLAG, KYLE
Entity type:Individual
Prefix:
First Name:KYLE
Middle Name:
Last Name:RUMSCHLAG
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 1:4481 COUNTY ROAD 14
Mailing Address - Street 2:
Mailing Address - City:NEW RIEGEL
Mailing Address - State:OH
Mailing Address - Zip Code:44853-9659
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4481 COUNTY ROAD 14
Practice Address - Street 2:
Practice Address - City:NEW RIEGEL
Practice Address - State:OH
Practice Address - Zip Code:44853-9659
Practice Address - Country:US
Practice Address - Phone:419-619-7064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-13
Last Update Date:2022-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker