Healthcare Provider Details

I. General information

NPI: 1558297879
Provider Name (Legal Business Name): EDIT MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 N BROADWAY AVE
MILLER SD
57362-1341
US

IV. Provider business mailing address

421 5TH ST SE
HIGHMORE SD
57345-2220
US

V. Phone/Fax

Practice location:
  • Phone: 605-870-1781
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY KERR
Title or Position: OWNER
Credential: PA-C
Phone: 605-870-1781