IndividualActive
Jennifer Kyllo, MD
NPI 1679565774 · Pediatric Endocrinology Physician · St Paul, MN
Provider details
- NPI number
- 1679565774
- Entity type
- Individual
- Primary specialty
- Pediatric Endocrinology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 39114 (MN)
Practice location
Children'S Specialty Clinic-Diabetes/Endocrinology-Stpl
347 North Smith Avenue
St Paul, MN 55102
Phone: (651) 220-6818
Fax: (651) 220-6064
Mailing address
Children'S Health Care
Roseville, MN 55113
Registry dates
- Enumerated
- 2005-08-16
- Last updated
- 2012-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.