TARA L POPKES

SIOUX FALLS, SD
NPI1316237084
Former NameTARA L KELLENBERGER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: SD  CR000760)
Enumeration Date2011-04-14
Last Update Date2014-05-15
Business Address
-- TARA L POPKES CRNA
1325 S CLIFF AVE
SIOUX FALLS, SD 57105-1007
Phone number: 605-322-2754
Mailing Address
-- TARA L POPKES CRNA
PO BOX 5045 ATTN: C.B.O. PROV ENROLLMT
SIOUX FALLS, SD 57117-5045
Phone number: 605-322-6428