Individual
KYNAN CHARLES TRAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 FOX RUN PKWY, SUITE 204, YANKTON, SD 57078-5370
(605) 668-9670
(605) 668-0371
Mailing address
2525 FOX RUN PKWY, SUITE 204, YANKTON, SD 57078-5370
(605) 668-9670
(605) 668-0371
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4733
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46045455602
—
NE
05
—
7301750
—
SD
Enumeration date
05/12/2006
Last updated
07/19/2012
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