Individual
KENNETH MAINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7600 S MINNESOTA AVE STE 201, SIOUX FALLS, SD 57108-2988
(605) 271-5441
(605) 271-5277
Mailing address
7600 S MINNESOTA AVE STE 201, SIOUX FALLS, SD 57108-2988
(605) 271-5441
(605) 271-5277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RL14600
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12083
—
ND
Enumeration date
07/03/2017
Last updated
07/22/2020
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