Individual
KODI STECKELBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
1323 BIA ROUTE 4, FORT THOMPSON, SD 57339
(605) 245-1576
(605) 234-2384
Mailing address
1323 BIA ROUTE 4, FORT THOMPSON, SD 57339
(605) 245-1576
(605) 234-2384
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
R042586
SD
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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