Kylan Seville, is a
Health & Wellness Coach based in Manchester, Connecticut. Kylan Seville is licensed to practice in Connecticut (license number ) and his current practice location is
19 Madison St, Manchester, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(347) 217-0460.
NPI number for Kylan Seville is 1225888720 and his current mailing address is 19 Madison St, Manchester, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225888720.
Healthcare Provider's Profile
| Full Name | Kylan Seville |
|---|
| Gender | Male |
|---|
| Speciality | Health & Wellness Coach |
|---|
| Location | 19 Madison St, Manchester, Connecticut |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225888720
- Provider Enumeration Date: 03/26/2024
- Last Update Date: 07/25/2026
Medical Identifiers
Medical identifiers for Kylan Seville such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1225888720 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | (Connecticut) | Secondary |
| 174200000X | Meals | (Connecticut) | Secondary |
| 171400000X | Health & Wellness Coach | (Connecticut) | Primary |
| 106S00000X | Behavior Technician | (Connecticut) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kylan Seville is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kylan Seville, 19 Madison St, Manchester, CT 06040-5333 Ph: (347) 217-0460 | Kylan Seville, 19 Madison St, Manchester, CT 06040-5333 Ph: (347) 217-0460 |
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