Individual
KIMBERLY A GILBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1717 UNIVERSITY DR S, FARGO, ND 58103-4939
(701) 461-5100
(701) 234-7060
Mailing address
1717 UNIVERSITY DR S, FARGO, ND 58103-4939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
562
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60513
—
ND
Enumeration date
07/16/2006
Last updated
03/25/2022
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