Individual
BLAKE TIMOTHY KADINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
4520 W 69TH ST, SIOUX FALLS, SD 57108-8148
(605) 977-5000
(605) 977-5377
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 632-8065
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CP001267
SD
363LF0000X
Family Nurse Practitioner
Primary
CP001267
SD
Other
Enumeration date
09/13/2017
Last updated
10/03/2024
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