Individual
KATIE L URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
116 NORTH MAIN STREET, PRESHO, SD 57568-0422
(605) 895-2589
(605) 895-2325
Mailing address
PO BOX 422, PRESHO, SD 57568-0422
(605) 895-2589
(605) 895-2325
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
SD
Other
Enumeration date
04/20/2012
Last updated
02/17/2015
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