Individual
KYLEE DANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
616 CAMPBELL DR, GRAND FORKS, ND 58201-7342
(218) 230-1442
Mailing address
717 REEVES DR, GRAND FORKS, ND 58201-4919
(218) 230-1442
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477782
—
ND
Enumeration date
11/01/2020
Last updated
11/01/2020
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