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Organization

BLACK HILLS MOBILE HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KYLE DAVID LARSON APRN (CEO)
(605) 770-8320
Entity
Organization

Contact information

Practice address
1315 HAINES AVE STE D, RAPID CITY, SD 57701-2453
(605) 770-8320
Mailing address
PO BOX 2480, RAPID CITY, SD 57709-2480
(605) 770-8320

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
10/20/2023
Last updated
10/20/2023
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