Individual
KATIE LYNN KESTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
403 E 15TH AVE, GROTON, SD 57445-2211
(682) 438-3419
Mailing address
403 E 15TH AVE, GROTON, SD 57445-2211
(682) 438-3419
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CP002323
SD
Other
Enumeration date
03/03/2022
Last updated
03/07/2022
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