NPI 1649435165 · live from the CMS NPI Registry
Krista Bree Birkelo, DO
Emergency Medicine in Spearfish, SD. National Provider Identifier 1649435165, active.
NPI record
| NPI | 1649435165 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 1440 N Main St, Spearfish, SD 57783 |
| Practice phone | 605-644-4004 |
| Mailing address | 353 Fairmont Blvd, Atten Medical Staff Services, Rapid City, SD 57701 |
| Enumerated | July 24, 2008 |
| Last updated | June 15, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine | 207P00000X | MED-PHYS-LIC-91650 (MT) |
| Student in an Organized Health Care Education/Training Program | 390200000X | 0116020853 (VA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Emergency Medicine primary | 207P00000X | 1359 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.