Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JANELLE L KYLLO BOUCHIE, PA-C
ActiveJANELLE L KYLLO BOUCHIE, PA-C is a Physician Assistant healthcare provider located in DETROIT LAKES, Minnesota. NPI 1366716102 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · DETROIT LAKES, MN
Registration Details
- NPI Number
- 1366716102
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 24, 2012 (14.445215371718 yrs)
- Last Updated
- Nov 10, 2021
- Licenses
-
OT-1120 (ID)12809 (MN)
Practice Information
- Address
-
1027 WASHINGTON AVEDETROIT LAKES, MN, 565013409Browse MN providers · Browse ZIP 56501
- Phone
- 2188475611
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in DETROIT LAKES, MN
| Name | Credential | NPI |
|---|---|---|
| KURTIS K MOTSCHENBACHER | PA-C | 1225064868 |
| MICHAEL JOSEPH MCGREGOR | PA-C | 1740207380 |
| GARY ALAN MILLER | PA-C | 1851319438 |
| MRS. CHENTEL SPRING DANGERUD | PA-C | 1942495627 |
| VONDA EIDENSCHINK | PA-C | 1356508139 |
| REBECCA SUE STUTZ | PA-C | 1780837641 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.