Individual provider · Type 1 NPI

Janelle L. Kyllo Bouchie, PA-C

Physician Assistant · Detroit Lakes, MN

NPI number 1366716102 Active

Practice location

1027 Washington Ave
Detroit Lakes, MN 56501-3409

Call (218) 847-5611 Map

Mailing address

1702 University Dr S
Fargo, ND 58103-4940

Specialties and licenses

TaxonomyCodeLicense
Pediatric Occupational Therapist 225XP0200XOT-1120 (ID)
Physician Assistant Primary 363A00000X12809 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1366716102

Janelle L. Kyllo Bouchie, PA-C's National Provider Identifier is 1366716102, issued on Feb 24, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Detroit Lakes, MN. The record was last updated on Nov 10, 2021.