Individual
DR. KYLE PORISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
118 3RD ST SE, HURON, SD 57350-2502
(605) 352-4264
Mailing address
310 8TH AVE NW STE 503, ABERDEEN, SD 57401-2369
(605) 225-2020
(605) 725-2614
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
627
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9203610
—
SD
Enumeration date
09/29/2006
Last updated
11/30/2007
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