Individual
MS. PAULA JEAN KENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
500 N 5TH ST, HOT SPRINGS, SD 57747-1480
(605) 745-2040
Mailing address
222 E FAIRMONT BLVD, RAPID CITY, SD 57701-7185
(605) 348-1830
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
17
SD
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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