Individual
LINDA KAY DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1201 EAST HIGHWAY 18, PINE RIDGE, SD 57770
(605) 867-5131
Mailing address
PO BOX 5027, PINE RIDGE, SD 57770-5027
(605) 431-3836
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
59454
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
# 59454
NURSING LISCENCE
NE
Enumeration date
07/14/2009
Last updated
07/14/2009
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