Individual
KRISTIE L GOENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
401 9TH AVE NW, WATERTOWN, SD 57201-1548
(605) 882-5455
(605) 882-5452
Mailing address
401 9TH AVE NW, WATERTOWN, SD 57201-1548
(605) 882-5455
(605) 882-5452
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP0297
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119618
MEDICA
SD
05
—
0555144
—
IA
01
—
1056418
ARAZ/ AMERICA'S PPO
SD
05
—
12262
—
ND
01
—
244212
MIDLANDS CHOICE
SD
01
—
35077
SANFORD HEALTH PLAN
SD
05
—
46022474335
—
NE
01
—
495T6GO
CC SYSTEMS/ BLUE PLUS
MN
01
—
4995307
BLUE CROSS
SD
01
—
57105F013
WPS TRICARE
SD
05
—
6825432
—
SD
05
—
6825434
—
SD
05
—
706138200
—
MN
01
—
769201043703
PREFERRED ONE
SD
01
—
9240963
DAKOTACARE
SD
01
—
92411422901
PRIMEWEST
MN
01
—
HP47806
HEALTHPARTNERS
SD
01
—
P00280018
RR MEDICARE
SD
Enumeration date
02/17/2006
Last updated
03/17/2018
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