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Individual

KRISTINE MARIE LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
5410 SHERIDAN LAKE RD STE 200, RAPID CITY, SD 57702-9208
(605) 508-3000
(605) 401-6696
Mailing address
5410 SHERIDAN LAKE RD STE 200, RAPID CITY, SD 57702-9208
(605) 508-3000
(605) 401-6696

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP001463
SD

Other

Enumeration date
11/06/2018
Last updated
05/27/2026
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