Individual
MS. KIRSTEN R. DEJEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3515 BROADWAY AVE, YANKTON, SD 57078-7600
(605) 668-3100
(605) 668-3460
Mailing address
2707 LAKEVIEW DR, YANKTON, SD 57078-5111
(605) 665-1267
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0271
SD
Other
Enumeration date
02/26/2007
Last updated
07/09/2007
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