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Individual

KELSEY R HERRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LRD

Contact information

Practice address
1717 UNIVERSITY DR S, FARGO, ND 58103-4939
(701) 234-2000
(701) 234-2345
Mailing address
PO BOX 2010, FARGO, ND 58122-2484

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
847
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
55920
ND
Enumeration date
10/03/2011
Last updated
04/19/2019
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