Individual
KATIE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
315 N WASHINGTON ST, VIBORG, SD 57070-2002
(605) 326-5161
(605) 326-5196
Mailing address
PO BOX 368, VIBORG, SD 57070-0368
(605) 326-5161
(605) 326-5196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP003917
SD
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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