Individual
DR. VICKI COLLEEN KOEBERNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
660 FLORMANN ST STE 9, RAPID CITY, SD 57701-4727
(605) 388-0073
Mailing address
660 FLORMANN ST STE 9, RAPID CITY, SD 57701-4727
(605) 388-0073
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
870
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005986
WELLMARK
SD
05
—
7602094
—
ND
Enumeration date
11/15/2006
Last updated
06/10/2024
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