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Individual

KAYLA LYNN WEDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
2900 DOOLITTLE DR, ELLSWORTH AFB, SD 57706-4821
(605) 385-6700
Mailing address
2026 PROMISE RD APT 4407, RAPID CITY, SD 57701-8974
(712) 577-0749

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0730
SD

Other

Enumeration date
08/05/2020
Last updated
10/06/2021
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