Individual
KAYLA ALLISON TOLLEFSRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2929 5TH ST, RAPID CITY, SD 57701-7363
(605) 755-4150
Mailing address
1570 SHOSHONE AVE, SPEARFISH, SD 57783-3034
(605) 210-2729
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1103
SD
Other
Enumeration date
08/28/2017
Last updated
08/28/2019
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