Provider Demographics
NPI:1003282807
Name:BREEMS, KAYLA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:
Last Name:BREEMS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 DAKOTA DUNES BLVD
Mailing Address - Street 2:APT 301
Mailing Address - City:DAKOTA DUNES
Mailing Address - State:SD
Mailing Address - Zip Code:57049-5339
Mailing Address - Country:US
Mailing Address - Phone:320-894-3517
Mailing Address - Fax:
Practice Address - Street 1:100 PIERCE ST
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51101-1434
Practice Address - Country:US
Practice Address - Phone:712-252-4669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-15
Last Update Date:2015-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA22076183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist