Provider Demographics
NPI:1013078500
Name:NOYES, KIM RENAE (CFA)
Entity Type:Individual
Prefix:MRS
First Name:KIM
Middle Name:RENAE
Last Name:NOYES
Suffix:
Gender:F
Credentials:CFA
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1425 FOREST HILLS DR
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-4454
Mailing Address - Country:US
Mailing Address - Phone:605-391-6927
Mailing Address - Fax:
Practice Address - Street 1:640 FLORMANN ST
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-4600
Practice Address - Country:US
Practice Address - Phone:605-718-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist