Katherine Bonnichsen
Dermatologist
Avera Medical Group Pierre - Helmsley Center 801 E Sioux Ave
Pierre
, South Dakota 57501
Katherine Bonnichsen
Dermatologist
Avera Medical Group Pierre - Helmsley Center 801 E Sioux Ave
Pierre
, South Dakota 57501
(605) 945-5217
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Katherine Bonnichsen
- Avera Medical Group Pierre - Helmsley Center 801 E Sioux Ave
- Pierre, SD
- Zip : 57501
- Phone : (605) 945-5217
Second Address
- Katherine Bonnichsen
- Avera Medical Group Pierre - Helmsley Center 801 E Sioux Ave
- Pierre, SD
- Zip : 57501
- Phone : (605) 945-5217
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 10974 | SD |
National Provider Identifier
| NPI | 1003234832 |
|---|---|
| Provider Name | Katherine Bonnichsen |
| First Address | Pierre, SD 57501 |
| Second Address | Pierre, SD 57501 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/03/2014 |
| Last Update Date | 28/12/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.