Individual provider · Type 1 NPI

Kyle Matthew Waisanen, MD

Urology Physician · Port Charlotte, FL

NPI number 1033616909 Active

Practice location

2400 Harbor Blvd Ste 8
Port Charlotte, FL 33952-5038

Fax (941) 766-5071

Other practice locations

  • 932 Spring St Ste 101, Petoskey, MI 49770-2286 · (231) 489-8298
  • 18669 Tamiami Trl Ste B, North Port, FL 34287-7388 · (941) 423-5040

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000XME162353 (FL)
Urology Physician 208800000X4301513351 (MI)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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About NPI 1033616909

Kyle Matthew Waisanen, MD's National Provider Identifier is 1033616909, issued on Apr 9, 2018. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Port Charlotte, FL. The record was last updated on Oct 13, 2026.