Individual
MS. KRISTA BREE BIRKELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1440 N MAIN ST, SPEARFISH, SD 57783-1505
(605) 644-4004
(605) 644-4006
Mailing address
353 FAIRMONT BLVD, ATTEN MEDICAL STAFF SERVICES, RAPID CITY, SD 57701-6000
(605) 719-7109
(605) 719-1027
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1359
SD
207P00000X
Emergency Medicine Physician
MED-PHYS-LIC-91650
MT
390200000X
Student in an Organized Health Care Education/Training Program
0116020853
VA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
07/24/2008
Last updated
06/15/2023
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