Individual
KACY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DCLS
Contact information
Practice address
1301 S CLIFF AVE, SIOUX FALLS, SD 57105-1005
(605) 322-7068
Mailing address
2817 E SUNFLOWER CIR, BRANDON, SD 57005-6709
(605) 350-3680
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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