All Medicaid billing entities listing KUDLOCK, VANESSA (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| South Dakota | 1 | $868.87 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | TRI STATE MEDICAL CENTER PLLC | BELLE FOURCHE, SD | Nurse Practitioner | $868.87 |