Kelly Munkvold

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

601 4TH St Ste 111
Brookings, SD 57006-2065

Phone

(320) 287-3867

NPI assigned

Oct 8, 2024

Last updated

Oct 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kelly Huot Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Growth Collective LLC

  • Counselor
  • Brookings, SD
  • NPI 1619685724
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1407675234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 4TH ST STE 111",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 4TH ST STE 111",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570062065",
            "telephone_number": "320-287-3867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNKVOLD",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "HUOT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Midwest Vascular Institute Inc
• Chelsea Leah Miles, ATC
• Elizabeth Ann Milton, MS
• Jonathan Taylor Mochel, DO
• Trisha J Morehouse, OD
• Esther Melissa Munoz
• Chad Munsterman, DC
• Scott Munsterman, DC
• Jessica A. Murano, LCSW
• Murray Chiropractic Clinic Inc

• Counselor in Brookings, SD
• Providers in Brookings, SD by specialty
• Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.