Individual
KYLE CHRISTIANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 8TH ST S # 3, MOORHEAD, MN 56560-3606
(701) 261-7694
Mailing address
1401 8TH ST S # 3, MOORHEAD, MN 56560-3606
(701) 261-7694
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
8354
MN
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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