Individual
MR. KELLEN PATRICK SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 9TH AVE NW, WATERTOWN, SD 57201-1548
(605) 882-7000
Mailing address
301 N FRENCH AVE, SIOUX FALLS, SD 57103-1330
(605) 254-1010
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CR001092
SD
Other
Enumeration date
09/25/2021
Last updated
09/25/2021
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