Individual
KRISTEN M CORKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP, FNP, PMHNP
Contact information
Practice address
521 KANSAS CITY ST, RAPID CITY, SD 57701-3673
(605) 791-2500
(605) 791-2502
Mailing address
521 KANSAS CITY ST, RAPID CITY, SD 57701-3673
(605) 791-2500
(605) 791-2502
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R028596
SD
363L00000X
Nurse Practitioner
CP000538
SD
363LF0000X
Family Nurse Practitioner
CP000538
SD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CP000538
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487801445
—
SD
05
—
200686140A
—
KS
Enumeration date
08/21/2008
Last updated
09/18/2023
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