Individual
MRS. KATHERINE LABONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 355-2206
Mailing address
3200 CANYON LAKE DR, RAPID CITY, SD 57702-8114
(605) 355-2206
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
R16231
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0140070
—
SD
05
—
5549050
—
SD
Enumeration date
11/16/2009
Last updated
11/16/2009
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