Kyle Thor Erickson
Radiologic Technologist, Magnetic Resonance Imaging in Fargo, ND. Individual provider (NPI-1).
NPI number1750195426
StatusActive
Last updated in NPPESFeb 4, 2025
Details
- NPI
- 1750195426
- Entity type
- Individual (NPI-1)
- Name
- Kyle Thor Erickson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 4, 2025
- Certification date
- Feb 4, 2025
- Last updated
- Feb 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2471M1202X | Radiologic Technologist, Magnetic Resonance Imaging | – | – | Yes |
Practice location
2101 Elm St NFargo, ND 58102-2498
Phone 701-232-3241
Mailing address
2101 Elm St NFargo, ND 58102-2498
Phone 701-232-3241
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