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Individual

KAYLA B HATTEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
1445 NORTH AVE, SPEARFISH, SD 57783-1552
(605) 644-4170
Mailing address
1445 NORTH AVE, SPEARFISH, SD 57783-1552
(605) 644-4170

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP002505
SD

Other

Enumeration date
09/07/2022
Last updated
10/10/2022
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