MR. RODNEY KING PAC
NPI 1023060217
Physician Assistant in Brookings, SD

Active since May 16, 2006
400 22ND AVE., BROOKINGS, SD 57006(605) 697-9500(605) 697-6939 Get Directions Write a Review

NPPES record last updated: September 24, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Rodney King Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RODNEY KING PAC (NPI 1023060217) is an individual physician assistant in Brookings, South Dakota, licensed in South Dakota (084) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1023060217
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. RODNEY KINGCredential: PAC
Location Address400 22ND AVE.Brookings, SD 57006-2497
Mailing Address400 22nd Ave.Brookings, SD 57006-2497 · (605) 697-9500 · Fax (605) 697-6939
Fax(605) 697-6939
Sole ProprietorNo
Enumeration DateMay 16, 2006
Last NPPES UpdateSeptember 24, 2007
NPI 1023060217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in SD · 084
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

400 22ND AVE., Brookings, SD 57006

Other Identifiers 3

Medicare PINS42405SD
Medicare UPINR02486SD
Medicaid5300750SD

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
400 22ND AVE.
BROOKINGS, SD 57006
Orthopaedic Surgery
400 22ND AVE.
BROOKINGS, SD 57006
Family Medicine
400 22ND AVE.
BROOKINGS, SD 57006
Pediatrics
400 22ND AVE.
BROOKINGS, SD 57006
Pediatrics
400 22ND AVE.
BROOKINGS, SD 57006
Family Medicine
400 22ND AVE.
BROOKINGS, SD 57006
Family Medicine
400 22ND AVE.
BROOKINGS, SD 57006
Family Medicine
400 22ND AVE.
BROOKIGNS, SD 57006
Nurse Practitioner (Women's Health)
400 22ND AVE.
BROOKINGS, SD 57006
Physician Assistant
400 22ND AVE.
BROOKINGS, SD 57006
Physician Assistant
400 22ND AVE.
BROOKINGS, SD 57006
Physical Therapist
400 22ND AVE.
BROOKINGS, SD 57006
General Practice
400 22ND AVE.
BROOKINGS, SD 57006
Internal Medicine
400 22ND AVE.
BROOKINGS, SD 57006
Internal Medicine
400 22ND AVE.
BROOKINGS, SD 57006
Family Medicine
400 22ND AVE.
BROOKINGS, SD 57006
Physician Assistant
400 22ND AVE.
BROOKINGS, SD 57006
Physical Therapist (Hand)
400 22ND AVE.
BROOKINGS, SD 57006

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023060217, enumerated as an "individual" on May 16, 2006.

The provider is located at 400 22ND AVE. BROOKINGS, SD 57006 and the phone number is (605) 697-9500.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.