# PRAIRIE FAMILY HEALTHCARE, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962648287
- **Authorized official:** DIANE LYNN KENKEL CNP (PRESIDENT)
- **Authorized official phone:** (605) 996-5553

## Contact information

- **Practice address:** 1115 E 5TH AVE, MITCHELL, SD 57301-2917
- **Practice address phone:** (605) 996-5553
- **Practice address fax:** (605) 996-1213
- **Mailing address:** 1115 E 5TH AVE, MITCHELL, SD 57301-2917
- **Mailing address phone:** (605) 996-5553
- **Mailing address fax:** (605) 996-1213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | CP000190 | SD | Yes |

## Other

- **Enumeration date:** 12/17/2008
- **Last updated:** 12/17/2008