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NPI Code Detail

MEDICARE: CANDY KAY BRUCE

MEDICARE:   CANDY KAY BRUCE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1227900000XRegistered Respiratory TherapistSD

General Provider Information

NPI Number : 1164187605
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDY KAY BRUCE
Provider Business Mailing Address
First Line : 117 PARK DR
Second Line :
City : VALLEY SPRINGS
State : SD
Zip : 57068-9370
Country : US
Telephone Number : 605-351-9878
Fax Number :
Provider Business Practice Location Address
First Line : 117 PARK DR
Second Line :
City : VALLEY SPRINGS
State : SD
Zip : 57068-9370
Country : US
Telephone Number : 605-351-9878
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2021
Last Update Date : 10/31/2021

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Directions to “ CANDY KAY BRUCE ” Practice Location

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