Most Relevant Information
Provider Data
| NPI Number: | 1003593260 |
| Provider Name: | EMILY KALANTAR |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/29/2023 |
| Last Updated: | 06/29/2023 |
Provider Practice Location
414 E CLARK ST
VERMILLION
SD
570692307
Practice Location Phone/Fax
| Phone: | 6056583720 |
| Fax: |
Provider Mailing Location
414 E CLARK ST
VERMILLION
SD
570692307
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |