Individual
KIRSTEN WILLIAM-KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4006 MAPLE AVE, RAPID CITY, SD 57701-7709
(605) 484-4536
Mailing address
4006 MAPLE AVE, RAPID CITY, SD 57701-7709
(605) 484-4536
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/12/2015
Last updated
04/12/2015
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