Healthcare Provider Details

I. General information

NPI: 1093621435
Provider Name (Legal Business Name): MRS. KYLIE KNEIFL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 E 3RD ST
SIOUX FALLS SD
57103-6660
US

IV. Provider business mailing address

3701 E 3RD ST
SIOUX FALLS SD
57103-6660
US

V. Phone/Fax

Practice location:
  • Phone: 605-367-6084
  • Fax: 605-367-6088
Mailing address:
  • Phone: 605-367-6084
  • Fax: 605-367-6088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number1507-PROV
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: