Individual
JOEL KIRST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1635 CAREGIVER CIR, RAPID CITY, SD 57702-8529
(605) 755-6100
Mailing address
312 E LIBERTY ST, RAPID CITY, SD 57701-7669
(605) 786-7076
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
CP002171
SD
363L00000X
Nurse Practitioner
Primary
CP002171
SD
Other
Enumeration date
10/12/2021
Last updated
10/18/2021
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