Provider Demographics
NPI:1053903047
Name:KIRKIE, KATHERINE ESTELLE (RN)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:ESTELLE
Last Name:KIRKIE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 200
Mailing Address - Street 2:
Mailing Address - City:FORT THOMPSON
Mailing Address - State:SD
Mailing Address - Zip Code:57339-0200
Mailing Address - Country:US
Mailing Address - Phone:605-245-1586
Mailing Address - Fax:605-245-2384
Practice Address - Street 1:1323 BIA RT 4
Practice Address - Street 2:
Practice Address - City:FORT THOMPSON
Practice Address - State:SD
Practice Address - Zip Code:57339-0200
Practice Address - Country:US
Practice Address - Phone:605-245-1540
Practice Address - Fax:605-245-2384
Is Sole Proprietor?:No
Enumeration Date:2021-02-10
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDRN021966163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health