MR. KYLE RAVENELLE NPI 1366236432

NPI Information

  • NPI: 1366236432
  • Provider Name: MR. KYLE RAVENELLE
  • Classification: Emergency Medical Technician, Paramedic - 146L00000X
  • Entity Type: Individual
  • Address: 78 LAKESIDE DR
    ASHFORD, CT
    ZIP 06278
  • Phone: (860) 942-3694

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NPI Details

MR. Kyle Ravenelle is an emergency medical technician paramedic in Ashford, CT. The provider is an EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. MR. Kyle Ravenelle NPI is 1366236432. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

78 LAKESIDE DR
ASHFORD, CT
ZIP 06278-227
Phone: (860) 942-3694

The enumeration date for this NPI number is 4/5/2025 and was last updated on 4/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1146L00000XEmergency Medical Technician, Paramedic3139CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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