Individual
DAVID LEE KALLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
47316 ROGNESS PL, RENNER, SD 57055-6526
(605) 310-6735
Mailing address
47316 ROGNESS PL, RENNER, SD 57055-6526
(605) 310-6735
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CR000784
SD
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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