Individual
KELLY S HEFTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 E 54TH ST, STE 200, SIOUX FALLS, SD 57104
(605) 328-9300
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-4539
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R025508
SD
Other
Enumeration date
05/01/2007
Last updated
10/22/2007
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