Individual
KAYLA JEAN RISWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6701 S MINNESOTA AVE, SIOUX FALLS, SD 57108-2591
(605) 322-6960
(605) 504-5711
Mailing address
1600 S HIGHLINE AVE STE 120, SIOUX FALLS, SD 57110-1008
(605) 322-6960
(605) 504-5711
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
15256
SD
207ZD0900X
Dermatopathology (Pathology) Physician
15256
SD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2019
Last updated
09/19/2024
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