Individual
DR. KYLA J KNUTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
111 E MAIN ST, BERESFORD, SD 57004-1818
(605) 763-8081
(605) 763-8081
Mailing address
111 E MAIN ST, PO BOX 506, BERESFORD, SD 57004-1818
(605) 763-8081
(605) 763-8081
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
951
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008095
WELLMARK PROVIDER NUMBER
SD
01
—
14395
SVHP PROVIDER NUMBER
SD
05
—
7601360
—
SD
Enumeration date
12/27/2006
Last updated
07/09/2007
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