Individual
DR. KENNETH C DIAMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
703 QUINCY ST, SUITE 1, RAPID CITY, SD 57701-3631
(605) 716-6656
(605) 716-6623
Mailing address
703 QUINCY ST, SUITE 1, RAPID CITY, SD 57701-3631
(605) 716-6656
(605) 716-6623
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4008
SD
Other
Enumeration date
01/23/2006
Last updated
03/13/2009
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