NPI 1003234832 · live from the CMS NPI Registry
Katherine Bonnichsen, MD
Dermatology in Pierre, SD. National Provider Identifier 1003234832, active.
NPI record
| NPI | 1003234832 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | Avera Medical Group Pierre - Helmsley Center, 801 E Sioux Ave, Pierre, SD 57501 |
| Practice phone | 605-945-5217 |
| Enumerated | March 29, 2014 |
| Last updated | December 28, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 10974 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.