Knudtson, Kenneth J

Knudtson, Kenneth J is an individual health care provider with primary practice located at 2311 Yorkshire Drive Ste C, Brookings SD 57006-2446. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Knudtson, Kenneth J can be contacted via phone (605) 692-7315.

Contact Information

Primary practice address
2311 Yorkshire Drive Ste C Brookings SD 57006-2446
Phone: (605) 692-7315
Fax: (605) 692-2615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4922 South Dakota

Profile Details

NPI number 1447234984
LBN Legal business name Knudtson, Kenneth J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Jul 1st, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447234984 NPPES
South Dakota MEDICAID 6300590

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