Individual
KIMBERLY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 GALL STREET, LOWER BRULE, SD 57548-0248
(605) 473-8243
Mailing address
PO BOX 248, LOWER BRULE, SD 57548-0248
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0440448
SD
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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