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Katy Vanderwal

NPI 1376614958 · on the registry since 2006

Practice

Address: 300 22nd Ave
Brookings, SD 57006
Phone: (605) 696-9000
Fax: (605) 696-7758
Organisation at this address: Avera Mckennan
City Of Brookings
City Of Brookings
City Of Brookings
City Of Brookings
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Registry record

Primary taxonomy: Registered Dietitian
133V00000X
Licence states on file: SD
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2009-08-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Dakota