Individual
KAYLA DASRATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14655 GALAXIE AVE, APPLE VALLEY, MN 55124-8602
(651) 227-6551
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
69764
MN
Other
Enumeration date
04/20/2020
Last updated
07/25/2023
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