Individual
KARL KENNETH OEHLKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4400 W 69TH ST, STE 1500, SIOUX FALLS, SD 57108-8170
(605) 322-5700
(605) 322-5704
Mailing address
2400 S MINNESOTA AVE, STE 100, SIOUX FALLS, SD 57105-3761
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0542
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040121002
PRIMEWEST
MN
05
—
12200
—
ND
01
—
1931128
ARAZ/ AMERICA'S PPO
SD
01
—
241098
MIDLANDS CHOICE
SD
01
—
241L9OE
CC SYSTEMS/ BLUE PLUS
MN
01
—
30791
SANFORD HEALTH PLAN
SD
05
—
3148379
—
IA
05
—
352157500
—
MN
01
—
370624200
DEPT OF LABOR
SD
01
—
412991034954
PREFERRED ONE
SD
05
—
46022474352
—
NE
01
—
4995860
BLUE CROSS
SD
01
—
57108C027
WPS TRICARE
SD
05
—
6825460
—
SD
01
—
9238091
DAKOTACARE
SD
01
—
HP39461
HEALTHPARTNERS
SD
Enumeration date
02/07/2006
Last updated
12/11/2013
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