Individual
MS. KELLY M HADLAND-BETKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2400 32ND AVE S, SOUTHPOINTE, FARGO, ND 58103-5800
(701) 234-7736
Mailing address
1659 10TH ST W, WEST FARGO, ND 58078-3243
(701) 281-2651
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
254-02
ND
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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