Individual
KATHLEEN ROSE BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
820 E 29TH ST, SOUTH SIOUX CITY, NE 68776-3344
(402) 494-3916
Mailing address
4230 WAR EAGLE DR, SIOUX CITY, IA 51109-1700
(712) 224-4300
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R027460
SD
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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