Individual
DR. KRISTINE KAY WREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1010 W 1ST ST, REDFIELD, SD 57469-1506
(605) 472-0510
(605) 472-0331
Mailing address
PO BOX 590, REDFIELD, SD 57469-0590
(605) 472-0510
(605) 472-0331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5850
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5612810
—
SD
Enumeration date
07/09/2006
Last updated
06/08/2010
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