Individual ProviderKyle LundwallNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3705 Medical Pkwy, Suite 570, Austin, TX 78705-1019(512) 454-2554PECOS EnrollmentBased on the most recent information from CMS, provider Kyle Lundwall does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1063893212Provider TypeIndividualFull NameLundwall, KyleCredentialCRNAGenderMaleSole ProprietorNoEnumeration Date6/13/2015Last Updated6/13/2015Contact InformationPractice LocationPractice Address3705 Medical Pkwy, Suite 570, Austin, TX 78705-1019Phone(512) 454-2554FaxUnlisted FaxMailing LocationMailing Address3705 Medical Pkwy, Suite 570, Austin, TX 78705-1019PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP128294Texas