Individual
KORY DAVID ANNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2403 E THAYER AVE, BISMARCK, ND 58501-5014
(701) 595-9564
Mailing address
2403 E THAYER AVE, BISMARCK, ND 58501-5014
(701) 595-9564
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/16/2022
Last updated
04/25/2024
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