Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kyle J Tooley, PA-C

Individual provider Physician Assistant · NPI 1649588617

Kyle J Tooley, PA-C is a Physician Assistant in Rochester, Minnesota. Qualified in 2010, 16 years ago. Accepts Medicare assignment. Licensed in Indiana and Minnesota.

Years since qualifying
16
Licensed in
IN, MN
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1650 4th St SE
Rochester, MN 55904-4717
Phone: (507) 529-6600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11617 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 10001220A (IN)

Record details

NPI number1649588617
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 23, 2010
Last updated in NPPESAugust 9, 2024
Certification dateAugust 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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