Individual
KELLY ANN HALGERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
106 4TH AVE N., FERGUS FALLS, MN 56537-1034
(218) 998-3778
(218) 998-3187
Mailing address
1626 7TH AVE S., FARGO, ND 58103
(701) 306-6136
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L12986
ND
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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