Individual
DR. STACY KRISTIN KOTALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
409 SUMMIT ST STE 2500, YANKTON, SD 57078-3739
(605) 655-1710
(605) 655-1711
Mailing address
1104 W 8TH ST, YANKTON, SD 57078-3306
(605) 665-7841
(605) 665-0546
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP001147
SD
Other
Enumeration date
01/05/2017
Last updated
11/30/2018
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