Individual
KINSEY A SHULTZ PIATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2920 W MAIN ST, RAPID CITY, SD 57702-8134
(605) 719-7313
(605) 719-7333
Mailing address
2920 W MAIN ST, RAPID CITY, SD 57702-8134
(605) 719-7313
(605) 719-7333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10907
ND
207Q00000X
Family Medicine Physician
Primary
36783
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0744748
—
IA
01
—
1336127828
GROUP NPI
—
Enumeration date
07/30/2006
Last updated
06/03/2024
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