Individual
KYLEE FERNHOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9394 W DODGE RD STE 300, OMAHA, NE 68114-3319
(320) 815-0737
Mailing address
1425 E GATEWAY CIR S, FARGO, ND 58103-3617
(320) 815-0737
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1963
ND
Other
Enumeration date
07/04/2023
Last updated
07/09/2023
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