Dascher, Kayla Dale

Dascher, Kayla Dale is an individual health care provider with primary practice located at 500 W Grant St , Lake City MN 55041-1143. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dascher, Kayla Dale can be contacted via phone (651) 345-3321.

Contact Information

Primary practice address
500 W Grant St Lake City MN 55041-1143
Phone: (651) 345-3321
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R160106-8 Minnesota

Profile Details

NPI number 1760614630
LBN Legal business name Dascher, Kayla Dale
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2009
Last updated Mar 20th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760614630 NPPES
Minnesota MEDICAID 1760614630

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