Individual
RYAN M KLENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2120 LIVE STRONGER ST, TEA, SD 57064-8331
(605) 331-5890
(833) 918-2049
Mailing address
2120 LIVE STRONGER ST, TEA, SD 57064-8331
(605) 331-5890
(833) 918-2049
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1290
NE
363A00000X
Physician Assistant
Primary
0679
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39006
BCBS
—
Enumeration date
02/01/2007
Last updated
04/21/2026
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