Individual
KATIE GARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 S SUMMIT AVE, SIOUX FALLS, SD 57105-2727
(605) 271-2467
(605) 275-6541
Mailing address
2000 S SUMMIT AVE, SIOUX FALLS, SD 57105-2727
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P011008
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1522032214
—
SD
Enumeration date
09/28/2021
Last updated
09/28/2021
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