Individual
KAYLYN KORTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1302 SHEYENNE ST, WEST FARGO, ND 58078
(701) 388-9787
Mailing address
1302 SHEYENNE ST, WEST FARGO, ND 58078-2645
(701) 388-9787
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
13629
ND
164W00000X
Licensed Practical Nurse
727079
MN
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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