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Individual

KIRSTEN BUSSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701
(605) 755-8222
(605) 719-4203
Mailing address
PO BOX 912882, DENVER, CO 80291-2882
(866) 765-0909
(855) 856-8520

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD2005-0300
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10019722
LOVELACE HEALTH/SALUD
NM
05
1346228657
CO
05
1346228657
SD
05
1466615
ND
01
202000054
PRESBYTERIAN HEALTH/SALUD
NM
05
65300068
NM
01
953697
AHCCCS
AZ
01
NM007580
BC/BS
NM
01
QMYPR0068290
MOLINA
NM
Enumeration date
01/06/2006
Last updated
01/09/2019
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