Kilmer, Lynelle

Kilmer, Lynelle is an individual health care provider with primary practice located at 504 E Monroe St , Rapid City SD 57701-1400. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kilmer, Lynelle can be contacted via phone (605) 394-6665.

Contact Information

Primary practice address
504 E Monroe St Rapid City SD 57701-1400
Phone: (605) 394-6665
Fax: (605) 355-3508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0272 South Dakota

Profile Details

NPI number 1457362782
LBN Legal business name Kilmer, Lynelle
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jul 8th, 2007 - about 16 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 1457362782 NPPES
South Dakota MEDICAID 5350060

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