Individual
MRS. DIANE L KENKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2100 HIGHLAND WAY STE K, MITCHELL, SD 57301-6409
(605) 996-0440
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0190
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6825812
—
SD
Enumeration date
07/12/2005
Last updated
12/28/2022
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