Individual
MR. JAMIE TODD KLEINKNECHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5013 WAGON WHEEL CIR, MANDAN, ND 58554-1050
(701) 663-5452
Mailing address
5013 WAGON WHEEL CIR, MANDAN, ND 58554-1050
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
R29443
ND
163WP2201X
Ambulatory Care Registered Nurse
Primary
R29443
ND
163WX0106X
Occupational Health Registered Nurse
R29443
ND
Other
Enumeration date
04/19/2007
Last updated
09/11/2025
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