Kaela M Connaughton
Case Manager/Care Coordinator in Bismarck, ND. Individual provider (NPI-1).
NPI number1417665407
StatusActive
Last updated in NPPESJun 11, 2024
Details
- NPI
- 1417665407
- Entity type
- Individual (NPI-1)
- Name
- Kaela M Connaughton
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2022
- Certification date
- Jun 11, 2024
- Last updated
- Jun 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 172A00000X | Driver | – | – | |
| 247200000X | Technician, Other | – | – |
Practice location
4909 Shelburne StBismarck, ND 58503-5605
Phone 701-223-2417
Mailing address
4909 Shelburne StBismarck, ND 58503-5605
Phone 701-223-2417
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