Individual
BENJAMIN T KLINKHAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
201 W 69TH ST, SIOUX FALLS, SD 57108-2424
(605) 336-0635
(605) 271-0543
Mailing address
201 W 69TH ST, SIOUX FALLS, SD 57108-2424
(605) 336-0635
(605) 271-0543
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0579
SD
363AS0400X
Surgical Physician Assistant
0579
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6827430
—
SD
Enumeration date
02/16/2006
Last updated
10/29/2014
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