Most Relevant Information
Provider Data
| NPI Number: | 1003392887 |
| Provider Name: | KAYLA JOYCE MCCLELLAN AU.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 231H00000X |
| Specialty: | Audiologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/16/2018 |
| Last Updated: | 03/28/2022 |
Provider Practice Location
1705 ANNE ST NW
BEMIDJI
MN
566016151
Practice Location Phone/Fax
| Phone: | 2183335000 |
| Fax: |
Provider Mailing Location
PO BOX 5074
SIOUX FALLS
SD
571175074
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |