Individual
MCKYNSAY DAY VANDERPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
2751 2ND AVE N STOP 9013, GRAND FORKS, ND 58202-9013
(701) 777-6147
(701) 777-2536
Mailing address
2751 2ND AVE N STOP 9013, GRAND FORKS, ND 58202-9013
(701) 777-6147
(701) 777-2536
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
29304
ND
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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