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Individual

LINDA KAUKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
1621 S MINNESOTA AVE, SIOUX FALLS, SD 57105-1743
(605) 328-4700
(605) 328-4702
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-6512

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0441
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0041380
BC BS
SD
01
36752
SIOUX VALLEY HEALTH PLAN
SD
05
5200060
SD
Enumeration date
01/23/2007
Last updated
04/18/2022
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