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NPI Code Detail

MEDICARE: KIMBERLY KAY SHUGAR RN BSN

MEDICARE: KIMBERLY KAY SHUGAR RN BSN
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
1163W00000XRegistered Nurse127563IA

General Provider Information

NPI Number : 1588462667
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY KAY SHUGAR RN BSN
Provider Business Mailing Address
First Line : 380 W ANCHOR DR
Second Line :
City : DAKOTA DUNES
State : SD
Zip : 57049-5273
Country : US
Telephone Number : 605-232-2800
Fax Number : 612-725-1097
Provider Business Practice Location Address
First Line : 380 W ANCHOR DR
Second Line :
City : DAKOTA DUNES
State : SD
Zip : 57049-5273
Country : US
Telephone Number : 605-232-2800
Fax Number : 612-725-1097
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2025
Last Update Date : 03/05/2025

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