Kyla Marie Larocque

Individual provider Active NPI Case Manager/Care Coordinator · Rolla, ND

NPI 1831735257 · NPPES record last updated Nov 20, 2019

Key facts

NPI
1831735257
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
102 Main Ave W
Rolla, ND 58367
Phone
(701) 477-9050
Fax
(701) 477-8281
NPI assigned
Nov 20, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

102 Main Ave W
Rolla, ND 58367

Mailing address

PO Box 88
Rolla, ND 58367-0088
Phone (701) 477-9050

Other providers in Rolla, ND

All providers in Rolla, ND · Case Manager/Care Coordinator in North Dakota

Sources for this page

Verify at the official NPI Registry.