Individual
MEREDITH K KELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10 9TH AVE E, LISBON, ND 58054
(701) 683-4711
(701) 683-3205
Mailing address
10 9TH AVE E, LISBON, ND 58054
(701) 683-4711
(701) 683-3205
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R27855
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022192
NDBS
ND
05
—
05171
—
ND
05
—
19709
—
ND
Enumeration date
12/08/2005
Last updated
07/09/2007
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