| Doctor Name: | KAYLA M NIELSEN |
| NPI Number: | 1154681880 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | R036476 |
| Business Practice Address: | 103 W Pioneer Viborg, SD - 570700337 |
| Business Phone Number: | 6053265201 |
| Business Fax Number: | 6053265196 |
| Mailing Address: | Po Box 368, VIBORG |
| State: | SD |
| Postal Code: | 570700368 |
| Phone Number: | 6053265161 |
| Fax Number: | 6053265734 |
| NPI Enumeration Date: | 05/29/2012 |
| NPI Last Update Date: | 07/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R036476 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |