Organization
REMILLARD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY DAVID REMILLARD (CHIROPRACTOR)
(701) 258-5058
Entity
Organization
Contact information
Practice address
1122 W DIVIDE AVE, BISMARCK, ND 58501-1202
(701) 258-5058
(701) 258-1041
Mailing address
1122 WEST DIVIDE AVE, BISMARCK, ND 58501-0212
(701) 258-5058
(701) 258-1041
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13407
—
ND
01
—
25373
BCBS
ND
Enumeration date
09/26/2007
Last updated
02/26/2025
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