| NPI | 1790367340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN COFFEY CEO 605-842-7299 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2021-04-23 |