Individual
RYAN KOCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
513 3RD ST SW, WAGNER, SD 57380-9675
(605) 384-3611
Mailing address
PO BOX 280, WAGNER, SD 57380
(605) 384-3418
(605) 384-5240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP001437
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP001437
SOUTH DAKOTA BOARD OF NURSING LICENSURE
SD
Enumeration date
09/08/2018
Last updated
11/15/2018
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