Individual
MRS. KIMBERLY HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
640 E SIOUX AVE, PIERRE, SD 57501-3300
(605) 945-5560
Mailing address
1610 SKERROLS ST, APT E1, FORT PIERRE, SD 57532-2359
(605) 770-4571
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP001044
SD
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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