Individual
KRISTIN J BIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
120 W 6TH AVE, MITCHELL, SD 57301-1920
(605) 292-6262
Mailing address
PO BOX 3100, CARBONDALE, IL 62902-3100
(618) 529-2200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP001385
SD
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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