| Doctor Name: | MRS. KATHLEEEN KAE ZAMBO |
| NPI Number: | 1033183595 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | SD- RO17146 |
| Business Practice Address: | 24276 Airport Road Eagle Butte, SD - 57625 |
| Business Phone Number: | 6059647724 |
| Business Fax Number: | 6059641110 |
| Mailing Address: | 39382 128th St, BATH |
| State: | SD |
| Postal Code: | 574275200 |
| Phone Number: | 6052260184 |
| Fax Number: | |
| NPI Enumeration Date: | 02/13/2006 |
| NPI Last Update Date: | 03/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | SD- RO17146 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |