Organization
BLOOMING PRAIRIE PSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA KRISTINE KENNEY PSYD (OWNER)
(701) 739-4729
Entity
Organization
Contact information
Practice address
4521 OTTAWA ST STE 209, BISMARCK, ND 58503-6196
(701) 202-8651
Mailing address
4521 OTTAWA ST STE 209, BISMARCK, ND 58503-6196
(701) 202-8651
(701) 425-0421
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/14/2024
Last updated
09/23/2025
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