Individual
MS. VICKI KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
808 E 3RD ST, DELL RAPIDS, SD 57022-2008
(605) 428-5291
Mailing address
808 E 3RD ST, DELL RAPIDS, SD 57022-2008
(605) 428-5291
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
P006343
SD
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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