Individual
RONALD EDWIN LIVERMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 HEALTH CENTER ROAD, KYLE, SD 57752-0000
(605) 455-8214
(605) 455-1529
Mailing address
1000 HEALTH CENTER ROAD, KYLE, SD 57752-0000
(605) 455-8214
(605) 455-1529
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2013
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD21031
—
AK
Enumeration date
01/25/2006
Last updated
06/07/2013
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