Tracy A. Kallheim FNP-BC, ATC

NPI 1932251139 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1932251139
Gender Female
Enumeration Date 01/17/2007
Last Updated 10/29/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
1305 W 18TH ST
SIOUX FALLS SD, 57105-0401, US
Phone (605) 333-6688
Fax
Business Location
6809 S AVALON CIR
SIOUX FALLS SD, 57108-4000, US
Phone (605) 366-0832
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State South Dakota
License Number 0090
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According to our database, Tracy A. Kallheim FNP-BC, ATC NPI is 1932251139, taxonomy code is 2255A2300X and license number is 0090, license state is located at South Dakota. Tracy A. Kallheim FNP-BC, ATC physically located at 1305 W 18th St, Sioux Falls SD, 57105-0401. NPI Number Tracy A. Kallheim FNP-BC, ATC has the Individual type.

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1932251139 NPI number is provided on an as is basis without warranty of any kind. 1932251139 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy A. Kallheim FNP-BC, ATC are for informational purposes only.