Individual
KIRA ANN MACKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
108 MAIN ST S, MINOT, ND 58701-3914
(701) 852-5070
(877) 712-6895
Mailing address
603 11TH ST NW, MINOT, ND 58703-2159
(701) 340-5236
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201114
ND
Other
Enumeration date
09/28/2024
Last updated
09/28/2024
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