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Individual

KRISTIN A CANFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
800 E 21ST ST, SIOUX FALLS, SD 57105-1016
(605) 322-2754
(605) 322-2727
Mailing address
800 E 21ST ST, SIOUX FALLS, SD 57105-1016
(605) 322-2754
(605) 322-2727

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
SD-CRNA CR000701
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1689840712
MN MEDICAID
MN
01
1689840712
WELLMARK BCBS OF SD
SD
05
1689840712
IA
05
46022474348
NE
05
5755910
SD
01
9265187
DAKOTACARE
Enumeration date
05/08/2008
Last updated
09/26/2008
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