Individual
KRYSTAL GOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
380 W ANCHOR DR, DAKOTA DUNES, SD 57049-5273
(605) 232-2798
Mailing address
380 W ANCHOR DR, DAKOTA DUNES, SD 57049-5273
(605) 232-2798
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
085173
IA
Other
Enumeration date
03/07/2025
Last updated
04/10/2026
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