Individual
KARY J GILLENWATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
15590 90TH ST NE, OTSEGO, MN 55330-9452
(763) 755-4275
Mailing address
15590 90TH ST NE, OTSEGO, MN 55330-9452
(763) 755-4275
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1458
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018808
BCBS OF ND PIN
ND
Enumeration date
08/03/2006
Last updated
02/06/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us