Healthcare Provider Details

I. General information

NPI: 1184102329
Provider Name (Legal Business Name): KAYLA LYNN BACHAND NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2018
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

814 CENTER AVE W
DILWORTH MN
56529-1339
US

IV. Provider business mailing address

805 5TH AVE NE
DILWORTH MN
56529-1526
US

V. Phone/Fax

Practice location:
  • Phone: 218-203-5775
  • Fax: 424-294-4896
Mailing address:
  • Phone: 218-203-5775
  • Fax: 424-294-4896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberR39003
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: