Doctor Name: | KATHI KAE SWEETER |
NPI Number: | 1003046939 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | CP000555 |
Business Practice Address: | 1301 S. Cliff Ave. Ste. 400 Sioux Falls, SD - 571051023 |
Business Phone Number: | 6053225750 |
Business Fax Number: | 6053225799 |
Mailing Address: | 2400 S. Minnesota Ave, Ste 100 SIOUX FALLS |
State: | SD |
Postal Code: | 571053762 |
Phone Number: | 6053227510 |
Fax Number: | 6053226475 |
NPI Enumeration Date: | 07/27/2009 |
NPI Last Update Date: | 05/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | CP000555 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |