Individual
MR. KYLE DOERGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS OTR/L
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(800) 743-1070
Mailing address
1230 N 3RD ST, SPEARFISH, SD 57783-1402
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0582
SD
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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