Healthcare Provider Details

I. General information

NPI: 1659013985
Provider Name (Legal Business Name): KAYLA YAZHARI DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAYLA VANDEN HOEK

II. Dates (important events)

Enumeration Date: 04/07/2022
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 SUMMIT ST STE 2600
YANKTON SD
57078-3855
US

IV. Provider business mailing address

1905 KELLEN GROSS DR UNIT 2
YANKTON SD
57078-5394
US

V. Phone/Fax

Practice location:
  • Phone: 605-655-1200
  • Fax:
Mailing address:
  • Phone: 605-680-9015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number265
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: