Individual
TRACY A. KALLHEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC, ATC
Contact information
Practice address
1305 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 333-6688
Mailing address
6809 S AVALON CIR, SIOUX FALLS, SD 57108-4000
(605) 366-0832
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0090
SD
363LF0000X
Family Nurse Practitioner
Primary
CP000570
SD
Other
Enumeration date
01/17/2007
Last updated
10/29/2009
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