Individual
KELLY BRYCE MASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 347-2511
Mailing address
113 COMANCHE RD, FORT MEADE, SD 57741-1002
(605) 347-2511
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
0799
SD
Other
Enumeration date
04/18/2024
Last updated
11/20/2024
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