Kjersti A Hall-Dvorak
Technician, Other in Bismarck, ND. Individual provider (NPI-1).
NPI number1366021297
StatusActive
Last updated in NPPESApr 7, 2021
Details
- NPI
- 1366021297
- Entity type
- Individual (NPI-1)
- Name
- Kjersti A Hall-Dvorak
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 7, 2021
- Certification date
- Apr 7, 2021
- Last updated
- Apr 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | MHT | ND | Yes |
Practice location
1237 W Divide Ave Ste 5Bismarck, ND 58501-1208
Phone 701-328-8851
Mailing address
1237 W Divide Ave Ste 5Bismarck, ND 58501-1208
Phone 701-328-8851
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