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NPI Code Detail

MEDICARE: KRISTIE KLINGENBERG

MEDICARE: KRISTIE KLINGENBERG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237700000XHearing Instrument Specialist154 HSD

General Provider Information

NPI Number : 1770921702
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIE KLINGENBERG
Provider Business Mailing Address
First Line : 301 W 14TH ST
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57104-6841
Country : US
Telephone Number : 605-338-6251
Fax Number : 605-333-0018
Provider Business Practice Location Address
First Line : 301 W 14TH ST
Second Line :
City : SIOUX FALLS
State : SD
Zip : 57104-6841
Country : US
Telephone Number : 605-338-6251
Fax Number : 605-333-0018
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2013
Last Update Date : 12/10/2025

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Directions to “ KRISTIE KLINGENBERG ” Practice Location

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