Individual
KENDRA E LONE ELK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
EAST HIWAY 18 AIRPORT ROAD, OST HEALTH ADMINISTRATION, PINE RIDGE, SD 57770-5011
(605) 867-1704
(605) 867-2063
Mailing address
PO BOX 5011, EAST HIWAY 18 AIRPORT ROAD, PINE RIDGE, SD 57770-5011
(605) 867-1704
(605) 867-2063
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
SDRN R026838
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
460439437
NPI NUMBER
SD
Enumeration date
07/01/2008
Last updated
09/19/2012
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