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Kyla Marie Reinholdson

Counselor

Behavioral Health & Social Service Providers

6381 Osgood Ave N Bldg C, Stillwater, MN 55082-6118

PECOS Enrollment

This provider is enrolled in PECOS as KYLA REINHOLDSON.

Based on the most recent information from CMS, provider Kyla Marie Reinholdson is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1902525728
Provider Type
Individual
Full Name
Reinholdson, Kyla Marie
Gender
Female

Sole Proprietor
Yes
Enumeration Date
8/24/2022
Last Updated
8/24/2022

Contact Information

Practice Location

6381 Osgood Ave N Bldg C, Stillwater, MN 55082-6118

(612) 888-3009

Unlisted Fax

Mailing Location

14091 Elmira Ct, Apple Valley, MN 55124-4217

(763) 229-9781

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer Minnesota

Kyla Marie Reinholdson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Familymeans

Conway, Sara

Eccles, Amy

Duong, Khiet

Larson, Natalie Ann-Louise

Saravia, Carley Tolman

Hermes, Jamie R

Moe, Daniel

Schertz, Jennifer Ann Kunkel

Yanez, Connie