Healthcare Provider Details
I. General information
NPI: 1326976408
Provider Name (Legal Business Name): PATRICK KONDA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3201 E BISON TRL STE 2
SIOUX FALLS SD
57108-8028
US
IV. Provider business mailing address
3201 E BISON TRL STE 2
SIOUX FALLS SD
57108-8028
US
V. Phone/Fax
- Phone: 605-271-5550
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PATRICK
KONDA
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 605-359-9752