Kevin Clinton
Technician, Other in Fergus Falls, MN. Individual provider (NPI-1).
NPI number1164081378
StatusActive
Last updated in NPPESJun 11, 2019
Details
- NPI
- 1164081378
- Entity type
- Individual (NPI-1)
- Name
- Kevin Clinton
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2019
- Last updated
- Jun 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
1806 E Fir Ave Ste 200Fergus Falls, MN 56537-3921
Phone 218-287-4338
Mailing address
891 Belsly BlvdMoorhead, MN 56560-5055
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All 14 Other Technician providers in Fergus Falls · All 828 providers in Fergus Falls
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