Individual
DR. KRISSONDRA LEIGH KLOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
910 18TH ST NW, MANDAN, ND 58554-1612
(701) 667-5100
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12005
ND
207Q00000X
Family Medicine Physician
5101017842
MI
Other
Enumeration date
10/17/2008
Last updated
05/15/2024
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