Individual
MRS. KAYLA JOY ORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 WILLOW ST., HARRISBURG, SD 57032-0187
(605) 743-2567
Mailing address
PO BOX 187, 200 WILLOW ST., HARRISBURG, SD 57032-0187
(605) 743-2567
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
663-SLP
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003991258
—
SD
Enumeration date
09/01/2016
Last updated
09/01/2016
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