Individual
KATHRINE A JIBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4950 S MINNESOTA AVE, SIOUX FALLS, SD 57108-2864
(605) 330-9619
(605) 330-9503
Mailing address
4950 S MINNESOTA AVE, SIOUX FALLS, SD 57108-2708
(605) 330-9619
(605) 330-9503
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0638
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0638
STATE LICENSE
SD
Enumeration date
03/07/2007
Last updated
02/25/2026
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