Individual
KAYLA MICHELLE GENRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1325 S CLIFF AVE, SIOUX FALLS, SD 57105-1007
(605) 322-2796
Mailing address
1325 S CLIFF AVE, PO BOX 5045, P.F.S., SIOUX FALLS, SD 57105-1007
(605) 322-2796
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
SD-CRNA CR000718
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316171838
WELLMARK BCBS-SD/TRICARE
—
05
—
1316171838
—
IA
05
—
1316171838
—
MN
05
—
46022474348
—
NE
05
—
5756310
—
SD
01
—
9280739
DAKOTACARE
—
01
—
P00883867
RAILROAD MEDICARE
SD
Enumeration date
05/12/2009
Last updated
05/31/2011
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