Individual
KYLEE ANN ZIMBARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 355-2500
Mailing address
3518 BROOKSIDE DR, RAPID CITY, SD 57702-2211
(605) 484-5467
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R049952
SD
363LF0000X
Family Nurse Practitioner
Primary
R049952
SD
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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