Provider Demographics
NPI:1679864375
Name:KING-SONA, JENNA (DO)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:
Last Name:KING-SONA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6100 S LOUISE AVE STE 1130
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-6030
Mailing Address - Country:US
Mailing Address - Phone:605-504-1600
Mailing Address - Fax:605-504-1601
Practice Address - Street 1:6100 S LOUISE AVE STE 1130
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-6030
Practice Address - Country:US
Practice Address - Phone:605-504-1600
Practice Address - Fax:605-504-1601
Is Sole Proprietor?:No
Enumeration Date:2011-04-28
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
SD9975207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program