DR. KIMBERLY SUE MONTILEAUX (NPI# 1508831389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508831389 |
Entity Type | Individual |
Full Name | DR. KIMBERLY SUE MONTILEAUX |
Other Name | DR. KIMBERLY SUE CHANDLER |
Credential | DPM |
Practice Address |
1 Clinic Dr Kyle SD 57752 |
Mailing Address |
Po Box 540 Kyle SD 57752-0540 |
Practice Telephone | 6054558211 |
Mailing Telephone | 6054558211 |
Enumeration Date | 2006-02-23 |
Last Update Date | 2012-05-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
151 | SD | Podiatric Medicine & Surgery Service Providers |
Street Address |
1 CLINIC DR |
City | KYLE |
State | SD |
Zip Code | 57752 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710504188 | Adam O Zayed | Pharmacist | 1000 Health Ctr Rd, Kyle, Sd 57752, Kyle, SD 57752 | 2020-07-01 |
1538534052 | Emmaline Elk | Registered Nurse | 100 Health Center Road, Kyle, SD 57752 | 2015-12-09 |
1841508074 | Oglala Lakota College- Head Start/ Early Head Start Program | Local Education Agency (LEA) | 490 Piya Wiconi Road, Kyle, SD 57752 | 2010-09-22 |
1629227202 | Kyle Health Center | Clinic/Center | 1000 Health Center Rd., Kyle, SD 57752 | 2008-09-18 |
1972720829 | James Edward Mcconkey | Pharmacist | 1000 Health Care Drive, Kyle, SD 57752 | 2007-04-20 |
1720117740 | Kyle Ihs Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1000 Health Center Circle, Kyle, SD 57752 | 2007-03-05 |
1427165836 | Diane M Reeves | Pharmacist | 1000 Health Service Dr., Kyle I.h.s. Out Patient Clinic, Kyle, SD 57752 | 2006-08-23 |
1548210131 | Gregory J Flaitz | Optometrist | 1000 Health Center Drive, Kyle Health Center Ihs, Kyle, SD 57752 | 2006-05-12 |
1326016874 | Barbara Jeanne Fuller | Physician Assistant | 1000 Health Cntr Dr, Kyle Health Center, Kyle, SD 57752 | 2006-03-10 |
1699759001 | Ellen Stephen Hospice and Homecare | Registered Nurse | 1 Main, Kyle, SD 57752 | 2005-11-30 |
Find all providers in zip 57752 |
Taxonomy Code | 213EP1101X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Primary Podiatric Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891272530 | Dr.tom Ries LLC | Podiatrist | 811 E Saint Andrew St, Rapid City, SD 57701-3928 | 2018-07-25 |
1871637033 | Jared C Shippee | Podiatrist | 1515 Shoshone Ave, Spearfish, SD 57783-3032 | 2007-02-19 |
1881753754 | Barry L Jacobs | Podiatrist | 500 N 5th St, Hot Springs, SD 57747-1480 | 2006-12-07 |
1245280643 | Judd Alan Sparagon | Podiatrist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2006-05-10 |
Please comment or provide details below to improve the information on DR. KIMBERLY SUE MONTILEAUX.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.