Individual
KIMBERLY DAWN DEWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6701 S MINNESOTA AVE, SIOUX FALLS, SD 57108-2591
(605) 322-6960
(605) 322-6961
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
0767
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6834280
—
SD
05
—
6834282
—
SD
Enumeration date
01/25/2011
Last updated
08/29/2014
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