Prairie Family Healthcare, P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CP000190 Issued in SD

Legal business name

PRAIRIE FAMILY HEALTHCARE, P.C.

Practice address

1115 E 5TH Ave
Mitchell, SD 57301-2917

Phone

(605) 996-5553

Fax

(605) 996-1213

NPI assigned

Dec 17, 2008

Last updated

Dec 17, 2008By 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

Diane Lynn Kenkel, CNP

Title

President

Phone

(605) 996-5553

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1962648287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 E 5TH AVE",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573012917",
            "telephone_number": "605-996-5553",
            "fax_number": "605-996-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 E 5TH AVE",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573012917",
            "telephone_number": "605-996-5553",
            "fax_number": "605-996-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE FAMILY HEALTHCARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "KENKEL",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-996-5553",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SD",
            "license": "CP000190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penny Petersen
• Craig Allen Pickart, D.C.
• Heather Pieper
• Jaclyn Plamp, PHARMD
• Kari Pommer
• Jessica Lea Preheim, NP-C
• Roger Dean Prill Jr., D.C.
• Cheryl L. Pruett, (C)OTA/L
• John W Prunty, DC
• Quality Care Chiropractic LLC

• Clinic/Center in Mitchell, SD
• Providers in Mitchell, SD by specialty
• Clinic/Center in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.