Individual
KEVIN ALLEN YACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
801 E SIOUX AVE, PIERRE, SD 57501
(605) 224-3100
Mailing address
601 S 9TH ST, ONIDA, SD 57564-2133
(605) 222-1912
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CR001021
SD
367500000X
Certified Registered Nurse Anesthetist
R49835
ND
Other
Enumeration date
12/06/2010
Last updated
09/24/2025
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