Individual
NICOLE A KIEWEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2301 25TH ST S, FARGO, ND 58103-6104
(701) 237-9712
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
517
ND
Other
Enumeration date
10/30/2015
Last updated
02/15/2022
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