Individual
KEVIN C PONS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MA CCC
Contact information
Practice address
1104 W 8TH ST, YANKTON, SD 57078-3306
(605) 665-7841
(605) 665-0546
Mailing address
1104 W 8TH ST, YANKTON, SD 57078-3306
(605) 665-7841
(605) 665-0546
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
268
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5830750
—
SD
Enumeration date
08/03/2005
Last updated
07/08/2007
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