| Mrs Katy J Vanderwal, | |
|
300 22nd Ave, Brookings, SD 57006-2480 | |
| (605) 696-9000 | |
| (605) 696-7758 |
| Full Name | Mrs Katy J Vanderwal |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 300 22nd Ave, Brookings, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376614958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 0313 (South Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Katy J Vanderwal, 300 22nd Ave, Brookings, SD 57006-2480 Ph: (605) 696-9000 | Mrs Katy J Vanderwal, 300 22nd Ave, Brookings, SD 57006-2480 Ph: (605) 696-9000 |
Shannon Medenwald, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 22nd Ave, Brookings, SD 57006 Phone: 605-696-9000 | |
Shaylee Hoff, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 522 Sweetgrass Dr Apt 112, Brookings, SD 57006 Phone: 605-610-6254 |