Individual provider · NPI-1
Kayla Hannemann, M.D.
Family Medicine · Brookings, SD
NPI number1922427830
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1922427830
- Entity type
- Individual (NPI-1)
- Name
- Kayla Hannemann
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 8, 2014
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 10444 | SD | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
400 22nd AveBrookings, SD 57006-2450
Phone 605-697-9500 · Fax 605-697-6939
Mailing address
400 22nd AveBrookings, SD 57006-2450
Phone 605-697-9500 · Fax 605-697-6939
Other practice locations
1115 E 20th St
Sioux Falls, SD 57105-1013
Sioux Falls, SD 57105-1013
Phone 605-575-1644
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