Individual
DANIEL J KVALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
105 W MAIN ST, BISON, SD 57620-0003
(605) 244-5206
(605) 244-5208
Mailing address
PO BOX 427, BISON, SD 57620-0427
(605) 244-5206
(605) 244-5208
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0549
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42507
MED B
SD
05
—
5350300
—
SD
Enumeration date
02/17/2006
Last updated
01/06/2017
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