Provider Demographics
NPI:1457147621
Name:KOSHIOL, RACHEL ASHLEY (MD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ASHLEY
Last Name:KOSHIOL
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ASHLEY
Other - Last Name:NOBLITT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2475 RUSTY SPUR CT
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57703-8514
Mailing Address - Country:US
Mailing Address - Phone:605-209-5979
Mailing Address - Fax:
Practice Address - Street 1:1400 W 22ND ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-1570
Practice Address - Country:US
Practice Address - Phone:605-357-1461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program