Healthcare Provider Details

I. General information

NPI: 1700880796
Provider Name (Legal Business Name): KATHRYN A BARRETT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2005
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2615 FAIRWAY ST
DICKINSON ND
58601-2590
US

IV. Provider business mailing address

PO BOX 5074 ATTEN: MEDICAL STAFF SERVICES
SIOUX FALLS SD
57117-5074
US

V. Phone/Fax

Practice location:
  • Phone: 701-456-6000
  • Fax: 701-456-6101
Mailing address:
  • Phone: 605-328-6585
  • Fax: 605-328-6512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberPT13463
License Number StateND
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number3638
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: