Individual
MRS. KATHLEEN LYNNE SCHNEEKLOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 E 23RD ST, STE 100, SIOUX FALLS, SD 57105-2114
(605) 322-1625
(605) 322-1626
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
4979
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7200670
—
SD
05
—
7200674
—
SD
Enumeration date
04/03/2006
Last updated
10/16/2018
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