Individual
KIERSTIN REBECCA MERGENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1101 NORTH DAKOTA STREET, VERMILLION, SD 57069
(605) 658-5537
Mailing address
411 STANFORD ST LOT 19, VERMILLION, SD 57069-1716
(817) 637-8787
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
0488
SD
Other
Enumeration date
10/31/2016
Last updated
10/31/2016
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