Individual
BILL J KASSUBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2165 PROMISE RD, RAPID CITY, SD 57701-8981
(605) 490-5098
Mailing address
2165 PROMISE RD, RAPID CITY, SD 57701-8981
(605) 490-5098
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R036778
SD
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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