Organization
MAVERICK HEALTH CARE, PROF. LLC
Active
Organization
MAVERICK HEALTH CARE, PROF. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HELEN ANNE KUEHLMAN DO (MEDICAL DIRECTOR / OWNER OF LLC)
(815) 531-4028
Entity
Organization
Contact information
Practice address
2200 13TH AVE, BELLE FOURCHE, SD 57717-2215
(605) 892-3331
Mailing address
2625 MAVERICK CT, SPEARFISH, SD 57783-9702
(815) 531-4028
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104559814
FAMILY MEDICINE
—
Enumeration date
07/08/2022
Last updated
07/18/2022
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