Most Relevant Information
Provider Data
| NPI Number: | 1003451881 |
| Provider Name: | ALEX KALSBECK CNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | CP001682 |
Most Important Dates
| Enumeration Date: | 11/15/2019 |
| Last Updated: | 11/15/2019 |
Provider Practice Location
103 W PIONEER
VIBORG
SD
57070
Practice Location Phone/Fax
| Phone: | 6053265201 |
| Fax: |
Provider Mailing Location
PO BOX 368
VIBORG
SD
570700368
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |