Vanessa Kudlock, NP
NPI #1033752258 in Belle Fourche, South Dakota
Provider Information
- NPI Number
- 1033752258
- Entity Type
- Individual
- Name
- Vanessa Kudlock, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- NP
- Enumeration Date
- Oct 21, 2019
- Last Updated
- May 7, 2024
Practice Location
- Address
- 2398 5TH AVE STE 101
- City
- Belle Fourche
- State
- South Dakota
- ZIP Code
- 57717-2340
- Phone
- (605) 568-0191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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Organizations
| Provider Name | |
|---|---|
| Tri State Medical Center Pllc |
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