| Organization Name: | KIRBY-HAGUE HEALTH CARE, P. C. |
| NPI Number: | 1043354319 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BILLIE JO HAGUE (CO-OWNER) |
| Mailing Address: | 811 Columbus St Rapid City |
| State: | SD US |
| Postal Code: | 577013540 |
| Phone Number: | 6053433007 |
| Fax Number: | 6053433020 |
| NPI Enumeration Date: | 02/19/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0330 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |