Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 11001 | SD |
NPI | 1013322536 |
---|---|
Provider Name | Dr. Kirstin Sholes |
First Address | Brookings, SD 57006-2450 |
Second Address | Brookings, SD 57006-2450 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2014 |
Last Update Date | 12/02/2019 |