Jundt, Kim W
Jundt, Kim W is an individual health care provider with primary practice located at 2100 S Marion Rd , Sioux Falls SD 57106-3646. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jundt, Kim W can be contacted via phone (605) 322-5180.Contact Information
Primary practice address
2100 S Marion Rd
Sioux Falls SD 57106-3646
Phone: (605) 322-5180
Fax: (605) 322-5179
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4194 | South Dakota |
Profile Details
NPI number | 1801890652 |
---|---|
LBN Legal business name | Jundt, Kim W |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 9th, 2005 |
Last updated | Apr 18th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1801890652 | NPPES |
North Dakota | MEDICAID | 10203 | |
North Dakota | MEDICAID | 5610110 | |
North Dakota | MEDICAID | 5610112 |
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