Heitkamp, Kathy A

Heitkamp, Kathy A is an individual health care provider with primary practice located at 1702 University Dr S , Fargo ND 58103-4940. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as her primary health care specialty. Heitkamp, Kathy A can be contacted via phone (701) 364-3300.

Contact Information

Primary practice address
1702 University Dr S Fargo ND 58103-4940
Phone: (701) 364-3300
Fax: (701) 364-8906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X R11357 North Dakota

Profile Details

NPI number 1124043559
LBN Legal business name Heitkamp, Kathy A
Credentials CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124043559 NPPES
Minnesota Other 18092 NDBS #
Minnesota Other 15713 NDBS #
Minnesota Other 18094 NDBS #
Minnesota Other 18093 NDBS #
Minnesota Other 18091 NDBS #
Minnesota Other ND200036 NDBS #

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