Corkle, Kristen M
Corkle, Kristen M is an individual health care provider with primary practice located at 521 Kansas City St , Rapid City SD 57701-3673. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Corkle, Kristen M can be contacted via phone (605) 791-2500.Contact Information
Primary practice address
521 Kansas City St
Rapid City SD 57701-3673
Phone: (605) 791-2500
Fax: (605) 791-2502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | CP000538 | South Dakota |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | CP000538 | South Dakota |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | CP000538 | South Dakota |
| Nursing Service Providers / Registered Nurse | 163W00000X | R028596 | South Dakota |
Profile Details
| NPI number | 1487801445 |
|---|---|
| LBN Legal business name | Corkle, Kristen M |
| Credentials | CNP, FNP, PMHNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2008 |
| Last updated | Sep 18th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487801445 | NPPES |
| Kansas | MEDICAID | 200686140A | |
| Kansas | MEDICAID | 1487801445 |
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