Chesmore, Kip D

Chesmore, Kip D is an individual health care provider with primary practice located at 575 N Sioux Point Rd , Dakota Dunes SD 57049-5312. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Chesmore, Kip D can be contacted via phone (605) 217-2667.

Contact Information

Primary practice address
575 N Sioux Point Rd Dakota Dunes SD 57049-5312
Phone: (605) 217-2667
Fax: (605) 217-2900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 0821 South Dakota

Profile Details

NPI number 1811957764
LBN Legal business name Chesmore, Kip D
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jun 21st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811957764 NPPES
Iowa Other 31824 BCBS IOWA
Iowa MEDICAID 421480644-34 BCBS IOWA
Iowa Other 4993432 BCBS IOWA
Iowa MEDICAID 0763219 BCBS IOWA
Iowa MEDICAID 5833242 BCBS IOWA

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