Kerry Lynn Kuffenkam, M.D.
Individual provider Active NPI General Practice Physician · Sisseton, SD
NPI 1447579743 · NPPES record last updated Feb 2, 2017
Key facts
- NPI
- 1447579743
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 59733 (MN)
- Practice address
- 100 Lake Traverse Dr
Sisseton, SD 57262-7046 - Phone
- (605) 698-7606
- Fax
- (605) 742-0183
- NPI assigned
- May 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 59733 | MN | Yes |
Addresses
Primary practice location
100 Lake Traverse Dr
Sisseton, SD 57262-7046
Mailing address
100 Lake Traverse Dr
Sisseton, SD 57262-7046
Phone (605) 698-7606
Other providers in Sisseton, SD
- Elliot Dane Klapperich
- Jacob Kocher
- Debbra Kay Kongi
- Neung R Kopter-Meredith
- Maviann Marie Krause
- Brian E Labelle
- Terry Lee Larsen
- Douglas Leo Lasuer
- Donavon Clay Lawrence
- Leah M Thielen
All providers in Sisseton, SD · General Practice Physician in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.