Komivi T Avegnon
Case Manager/Care Coordinator in Fargo, ND. Individual provider (NPI-1).
NPI number1942794441
StatusActive
Last updated in NPPESAug 26, 2020
Details
- NPI
- 1942794441
- Entity type
- Individual (NPI-1)
- Name
- Komivi T Avegnon
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2018
- Certification date
- Aug 26, 2020
- Last updated
- Aug 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 247200000X | Technician, Other | – | – |
Practice location
2624 9th Ave SFargo, ND 58103-2350
Phone 701-298-4500
Mailing address
2624 9th Ave SFargo, ND 58103-2350
Phone 701-298-4500
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Case Manager/Care Coordinator providers in Fargo, ND
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.