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Individual

KAYLA M MEHLHAF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
103 W PIONEER, VIBORG, SD 57070-0337
(605) 326-5201
(605) 326-5196
Mailing address
PO BOX 368, VIBORG, SD 57070-0368
(605) 326-5161
(605) 326-5734

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP000714
SD
363LF0000X
Family Nurse Practitioner
R036476
SD

Other

Enumeration date
05/29/2012
Last updated
10/21/2020
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