Individual
KELSEY JORDAN SEDERQUEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 15TH AVE W, WILLISTON, ND 58801-3821
(701) 572-7651
Mailing address
3219 ROCKY WAGON ST, WILLISTON, ND 58801-2615
(507) 440-6102
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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