Individual
KIMBERLY A THOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C.
Contact information
Practice address
4141 5TH ST, RAPID CITY, SD 57701-6021
(605) 341-2424
Mailing address
8826 VALLEY VIEW DR, STURGIS, SD 57785-2804
(605) 720-5678
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0422
SD
Other
Enumeration date
03/05/2007
Last updated
07/09/2007
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