Individual
KIMBERLY LYNN PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1084 SITTING BULL CT, BOX ELDER, SD 57719-2433
(605) 877-1374
Mailing address
1084 SITTING BULL CT, BOX ELDER, SD 57719-2433
(605) 877-1374
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R059899
SD
Other
Enumeration date
01/18/2025
Last updated
01/18/2025
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