Individual
MR. KYLE GARRETT WESCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1305 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 333-1000
Mailing address
6415 W 55TH ST, SIOUX FALLS, SD 57106-1962
(208) 403-9294
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CR001055
SD
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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