Individual
KENNETH T KIRTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
804 S WALNUT ST, FREEMAN, SD 57029-0900
(605) 925-4219
Mailing address
PO BOX 900, FREEMAN, SD 57029-0900
(605) 925-4219
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3572
SD
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
3572
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5608780
—
SD
05
—
5608782
—
SD
Enumeration date
01/28/2006
Last updated
09/09/2019
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