Individual
MCKENZIE KATELYN KEMMET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 E ROSSER AVE, BISMARCK, ND 58501-4414
(017) 712-4500
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0968
ND
Other
Enumeration date
09/02/2022
Last updated
10/20/2022
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