Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 63466 | MN |
Y | 207P00000X | Emergency Physician | 68985-20 | WI |
NPI | 1003298548 |
---|---|
Provider Name | Dr. Kevin Torkelson |
First Address | Sioux Falls, SD 57117-5074 |
Second Address | Fargo, ND 58104-7927 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2015 |
Last Update Date | 24/03/2021 |