Kenneth C Diamond MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4008 Issued in SD

Legal business name

KENNETH C DIAMOND MD PC

Doing business as

Diamond Family Medicine

Practice address

703 Quincy Street
Suite 1
Rapid City, SD 57701-3669

Phone

(605) 716-6656

Fax

(605) 716-6623

NPI assigned

Feb 5, 2008

Last updated

Apr 13, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth C Diamond, MDNPI 1679543755

Title

President

Phone

(605) 716-6656

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Diamond Family Medicine Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth C Diamond, M.D.

  • Family Medicine Physician
  • Rapid City, SD
  • NPI 1679543755
  Authorized official Same address or phone

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1902084619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 QUINCY STREET",
            "address_2": "SUITE 1",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013669",
            "telephone_number": "605-716-6656",
            "fax_number": "605-716-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 QUINCY STREET",
            "address_2": "SUITE 1",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013669",
            "telephone_number": "605-716-6656",
            "fax_number": "605-716-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH C DIAMOND MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "DIAMOND",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-716-6656",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "4008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "4995367",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5602395",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diamond Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margaret D Kelsey, PHD
• Andrew Kelts, D.O.
• Kay Kelts, DO
• Judith M Kennedy, ED.S.
• Kimberly Kennedy
• James Raleigh Kerr, MD
• Earl Edward Kessel, CRNA
• Stacy Lynn Keyser, MS,LPC-MH, NCC, QMHP
• Sonalika Khachikian, MD
• Stephen S Khachikian, M.D.

• Family Medicine Physician in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Family Medicine Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.