Individual
KRISTINA DYKHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
310 S SPLITROCK BLVD, BRANDON, SD 57005-1652
(605) 530-0057
Mailing address
7901 E MAPLE ST, BRANDON, SD 57005-1104
(605) 530-0057
Taxonomy
Speciality
Code
Description
License number
State
163WS0121X
Plastic Surgery Registered Nurse
Primary
R039173
SD
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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