Most Relevant Information
Provider Data
| NPI Number: | 1003349903 |
| Provider Name: | KIMBERLY HUSHAGEN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | 12106 |
Most Important Dates
| Enumeration Date: | 04/06/2017 |
| Last Updated: | 09/14/2020 |
Provider Practice Location
2905 5TH ST
RAPID CITY
SD
577017316
Practice Location Phone/Fax
| Phone: | 6053417337 |
| Fax: |
Provider Mailing Location
2905 5TH ST
RAPID CITY
SD
577017316
Provider Mailing Phone/Fax
| Phone: | 6053417337 |
| Fax: |
Suggested EMR
Pediatrics EMR