Active NPIIndividual provider

Mr. Kyle Ravenelle

Emergency Medical Technician, Paramedic in Ashford, Connecticut

NPI Number1366236432
Practice location
78 Lakeside Dr, Ashford, CT 06278-1227
Fax
—
Last updated
April 5, 2025

Kyle Ravenelle is an Emergency Medical Technician, Paramedic based in Ashford, CT. Kyle Ravenelle practices in Ashford, CT. The NPI Number for Kyle Ravenelle is 1366236432 and holds a License No. 3139 (CT). The current practice location address for Kyle Ravenelle is 78 Lakeside Dr, Ashford, CT 06278-1227 and can be reached out via phone at 860-942-3694.

Provider Profile Details

NPI Number
1366236432
Provider Name
Kyle Ravenelle
Provider Entity Type
Individual
Gender
Male
Address
78 Lakeside Dr, Ashford, CT 06278-1227
Phone Number
860-942-3694
Primary Taxonomy
Emergency Medical Technician, Paramedic · 146L00000X
Sole Proprietor
No
Provider Enumeration Date
April 5, 2025
Last Update Date
April 5, 2025
Certification Date
April 5, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
78 Lakeside Dr
Ashford, CT 06278-1227
Zip
06278-1227
Phone Number
860-942-3694
Ashford, CT 06278Get directions →

Provider Business Mailing Address Details

Address
78 Lakeside Dr
Ashford, CT 06278-1227
City
Ashford
State
CT
Zip
06278-1227
Phone Number
860-942-3694

License Information

License Number
3139
License State
CT
Taxonomy
Emergency Medical Technician, Paramedic · 146L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Kyle Ravenelle?

The NPI number of Mr. Kyle Ravenelle is 1366236432. It was assigned on April 5, 2025 and is currently active in the NPPES registry.

What is the specialty of Mr. Kyle Ravenelle?

Mr. Kyle Ravenelle is registered under the primary taxonomy Emergency Medical Technician, Paramedic (code 146L00000X), licensed in CT under license number 3139.

Where does Mr. Kyle Ravenelle practice?

The practice location is 78 Lakeside Dr, Ashford, CT 06278-1227. The office can be reached at 860-942-3694 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366236432 directly on the NPPES registry website.

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