Individual
KATHRYN D OPHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
345 W STEAMBOAT DR, SUITE 300, DAKOTA DUNES, SD 57049-5333
(605) 217-2175
(605) 217-2185
Mailing address
814 PIERCE ST, SUITE 102, SIOUX CITY, IA 51101-1058
(712) 226-2600
(712) 226-2605
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2797
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040461
WELLMARK BCBS
SD
01
—
168
MIDLANDS CHOICE
—
01
—
20171
SIOUX VALLEY
SD
05
—
2218222
—
IA
01
—
47804
WELLMARK BCBS
IA
05
—
75305796315
—
NE
01
—
75305796357049A003
TRICARE
—
05
—
7776144
—
SD
01
—
9210414
DAKOTA CARE
SD
Enumeration date
04/01/2006
Last updated
01/31/2011
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