Individual
JOHNNY DALE KINDRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 S RIVER RD, FORT YATES, ND 58538
(701) 854-8289
Mailing address
PO BOX J, FORT YATES, ND 58538-0527
(701) 854-8309
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
78357
WV
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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