Individual
KELLY RENAE BIRKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1117 11TH AVE NE, ABERDEEN, SD 57401-2232
(605) 216-3343
Mailing address
1117 11TH AVE NE, ABERDEEN, SD 57401-2232
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
R043115
SD
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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