NPI 1114451689 · live from the CMS NPI Registry
Kirstin Ashley Hockhausen
Dermatology in Rapid City, SD. National Provider Identifier 1114451689, active.
NPI record
| NPI | 1114451689 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 2805 5th St, Rapid City, SD 57701 |
| Practice phone | 605-755-5340 |
| Mailing address | 3020 Stockade Dr, Rapid City, SD 57702 |
| Enumerated | April 12, 2017 |
| Last updated | August 4, 2021 |
| Sole proprietor | No |
| Other names | Kirstin Huot |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Dermatology primary | 207N00000X | 12850 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.