Kvislen, Kellie
Kvislen, Kellie is an individual health care provider with primary practice located at 2080 36Th Ave Sw Ste 110 , Minot ND 58701-7597. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Kvislen, Kellie can be contacted via phone (701) 222-3175.Contact Information
Primary practice address
2080 36Th Ave Sw Ste 110
Minot ND 58701-7597
Phone: (701) 222-3175
Fax: (701) 222-3186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 1808 | North Dakota |
Profile Details
| NPI number | 1194330878 |
|---|---|
| LBN Legal business name | Kvislen, Kellie |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 10th, 2020 |
| Last updated | Aug 10th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194330878 | NPPES |
| North Dakota | MEDICAID | 1480833 |
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