Organization
PRAIRIE FAMILY HEALTHCARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE LYNN KENKEL CNP (PRESIDENT)
(605) 996-5553
Entity
Organization
Contact information
Practice address
1115 E 5TH AVE, MITCHELL, SD 57301-2917
(605) 996-5553
(605) 996-1213
Mailing address
1115 E 5TH AVE, MITCHELL, SD 57301-2917
(605) 996-5553
(605) 996-1213
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CP000190
SD
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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