Organization
SPECTRUM KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARI QUAIL MSN, RN (BOARD OF DIRECTORS)
(605) 692-2444
Entity
Organization
Contact information
Practice address
165 AIRPORT AVE STE B, BROOKINGS, SD 57006-1844
(605) 692-2444
Mailing address
165 AIRPORT AVE STE B, BROOKINGS, SD 57006-1844
(605) 692-2444
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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