MEDICARE: DR. JENNIFER K MAY MD

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
1	207R00000X	Internal Medicine Physician	5639	SD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00230715	OTHER		MEDICARE RAILROAD PTAN

General Provider Information

NPI Number	:	1891765475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER K MAY MD

Provider Business Mailing Address
First Line	:	3024 TOWER RD STE 2
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57701-5392
Country	:	US
Telephone Number	:	605-791-6220
Fax Number	:	605-721-8412

Provider Business Practice Location Address
First Line	:	3024 TOWER RD STE 2
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57701-5392
Country	:	US
Telephone Number	:	605-791-6220
Fax Number	:	605-721-8412

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	06/30/2022

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