Individual
KAYLA TOENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2781
(719) 595-7585
(719) 595-7589
Mailing address
400 W 16TH ST, PUEBLO, CO 81003-2781
(719) 595-7585
(719) 595-7589
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
TL0007844
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2017
Last updated
06/23/2019
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