Janelle L Kyllo Bouchie, PA-C
NPI #1366716102 in Detroit Lakes, Minnesota
Provider Information
- NPI Number
- 1366716102
- Entity Type
- Individual
- Name
- Janelle L Kyllo Bouchie, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Feb 24, 2012
- Last Updated
- Nov 10, 2021
Practice Location
- Address
- 1027 WASHINGTON AVE
- City
- Detroit Lakes
- State
- Minnesota
- ZIP Code
- 56501-3409
- Phone
- (218) 847-5611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist - Pediatrics — Pediatrics |
| Physician Assistant |
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