Healthcare Provider Details

I. General information

NPI: 1457323701
Provider Name (Legal Business Name): KATHLEEN JESSICA SONLEITNER DC
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

514 N LAWLER STREET
MITCHELL SD
57301
US

IV. Provider business mailing address

PO BOX 371 514 N LAWLER STREET
MITCHELL SD
57301
US

V. Phone/Fax

Practice location:
  • Phone: 605-995-6055
  • Fax: 605-995-6033
Mailing address:
  • Phone: 605-995-6055
  • Fax: 605-995-6033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number892
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: