Destiny Kindsvogel
Student in an Organized Health Care Education/Training Program in Mandan, ND. Individual provider (NPI-1).
NPI number1407366305
StatusActive
Last updated in NPPESOct 5, 2017
Details
- NPI
- 1407366305
- Entity type
- Individual (NPI-1)
- Name
- Destiny Kindsvogel
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 5, 2017
- Last updated
- Oct 5, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
706 8th Ave NwMandan, ND 58554-2415
Phone 701-527-4465
Mailing address
706 8th Ave NwMandan, ND 58554-2415
Phone 701-527-4465
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