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Individual

PAULETTE A KIRBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
811 COLUMBUS ST, RAPID CITY, SD 57701-3540
(605) 343-3007
Mailing address
22755 SILVER CITY RD, SILVER CITY, SD 57702-6040
(605) 342-3613

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R024388
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01-19363
MEDICA
01
1042921
PREFERRED ONE
01
132685
UCARE
01
2315537
AMERICA'S PPO (ARAZ)
01
44624
SIOUX VALLEY HEALTH PLAN
01
4995122
BCBS SD (WELLMARK)
SD
05
6826213
SD
05
6826214
SD
01
693G1KI
BCBS MN
MN
Enumeration date
01/25/2006
Last updated
07/09/2007
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