Provider Demographics
NPI:1437013729
Name:CROMWELL, KYLEIGH ANNE (DC)
Entity type:Individual
Prefix:
First Name:KYLEIGH
Middle Name:ANNE
Last Name:CROMWELL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2209 MOUNT RUSHMORE RD STE 1
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-5501
Mailing Address - Country:US
Mailing Address - Phone:605-519-8690
Mailing Address - Fax:
Practice Address - Street 1:2209 MOUNT RUSHMORE RD STE 1
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-5501
Practice Address - Country:US
Practice Address - Phone:605-519-8690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-12-11
Last Update Date:2025-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program