Individual
DR. KIMBERLY L JURACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
501 W HAVENS ST, MITCHELL, SD 57301-4334
(605) 996-1078
(605) 996-3703
Mailing address
501 W HAVENS ST, MITCHELL, SD 57301-4334
(605) 996-1078
(605) 996-3703
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
909
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041209
BLUE CROSS BLUE SHIELD
SD
Enumeration date
01/09/2006
Last updated
02/27/2013
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