Individual
DR. KEVIN N BJORLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
1383 21ST AVE N, FARGO, ND 58102
(701) 235-8050
(701) 298-3738
Mailing address
1383 21ST AVE N, FARGO, ND 58102
(701) 235-8050
(701) 298-3738
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
ND478
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022168
BS OF ND
ND
05
—
18684
—
ND
01
—
4Z836BJ
BS OF MN
MN
Enumeration date
01/31/2007
Last updated
12/09/2021
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