Individual
KAYLA HANNEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 22ND AVE, BROOKINGS, SD 57006-2450
(605) 697-9500
(605) 697-6939
Mailing address
400 22ND AVE, BROOKINGS, SD 57006-2450
(605) 697-9500
(605) 697-6939
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10444
SD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2014
Last updated
07/21/2022
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