Individual
KATHY J TEHVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LRD
Contact information
Practice address
737 BROADWAY, FARGO, ND 58122-0001
(701) 234-2353
(701) 234-8918
Mailing address
737 BROADWAY, FARGO, ND 58122-0001
(701) 234-2353
(701) 234-8918
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
97
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50793
—
ND
05
—
5090636000
—
MN
Enumeration date
07/22/2006
Last updated
09/12/2008
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