Individual
DESTINY KINDSVOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
706 8TH AVE NW, MANDAN, ND 58554-2415
(701) 527-4465
Mailing address
706 8TH AVE NW, MANDAN, ND 58554-2415
(701) 527-4465
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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