Provider Demographics
NPI:1194264390
Name:ALBERS-KLEINSASSER, KATELIN J (OD)
Entity type:Individual
Prefix:MRS
First Name:KATELIN
Middle Name:J
Last Name:ALBERS-KLEINSASSER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:KATELIN
Other - Middle Name:J
Other - Last Name:ALBERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:1288 DAKOTA AVE S
Mailing Address - Street 2:SUITE 3
Mailing Address - City:HURON
Mailing Address - State:SD
Mailing Address - Zip Code:57350-3600
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1288 DAKOTA AVE S
Practice Address - Street 2:SUITE 3
Practice Address - City:HURON
Practice Address - State:SD
Practice Address - Zip Code:57350-3600
Practice Address - Country:US
Practice Address - Phone:605-352-4181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-21
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD734152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist