Individual
KYLE L BOHLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7350
(605) 719-1000
(605) 719-1405
Mailing address
353 FAIRMONT BLVD, ATTEN CHRISTIE MSS, RAPID CITY, SD 57701-7350
(605) 719-1000
(605) 719-7680
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CR000563
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00068668
RR MEDICARE
SD
Enumeration date
08/24/2006
Last updated
09/19/2013
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