Individual
KELLY GRIMSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, CDE
Contact information
Practice address
400 SOLDIER CREEK DR, ROSEBUD, SD 57570-8502
(605) 747-0649
Mailing address
PO BOX 557, ROSEBUD, SD 57570-0557
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
R043498
SD
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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