Individual
MS. KATHLEEN R INGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2820 MOUNT RUSHMORE RD, RAPID CITY, SD 57701-5474
(605) 342-3280
(605) 721-8458
Mailing address
PO BOX 6020, RAPID CITY, SD 57709-6020
(605) 342-3280
(605) 721-8458
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CP001708
SD
363LF0000X
Family Nurse Practitioner
AP127468
TX
363LF0000X
Family Nurse Practitioner
Primary
CP001708
SD
363LF0000X
Family Nurse Practitioner
R-194623-1
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
867534256A
—
GA
Enumeration date
05/16/2006
Last updated
12/17/2024
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