Individual
KAY K HUHNERKOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
61 CHARLES ST, DEADWOOD, SD 57732-1303
(605) 722-6101
Mailing address
PO BOX 3450, RAPID CITY, SD 57709-3450
(605) 722-6101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
R94180
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008584
WELLMARK
SD
01
—
2775
DAKOTACARE
SD
05
—
5752175
—
SD
05
—
6821457
—
SD
Enumeration date
06/04/2006
Last updated
02/23/2008
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