Individual
KIM YVETTE KORTJE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2100 BROADWAY AVE, YANKTON, SD 57078-1705
(605) 665-8261
Mailing address
5 CIRCLE DR., CROFTON, NE 68730
(402) 841-1153
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
9093
NE
183500000X
Pharmacist
Primary
R5392
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9093
PHARMACY LICENSE
NE
01
—
R5392
PHARMACY LICENSE
SD
Enumeration date
10/05/2005
Last updated
07/08/2007
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