Healthcare Provider Details

I. General information

NPI: 1730784026
Provider Name (Legal Business Name): PATRICK KONDA DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/03/2020
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

Practice location:
  • Phone: 605-271-5550
  • Fax:
Mailing address:
  • Phone: 605-271-5550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHR.0008290
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: