Individual
KIMBERLY ANN BERTELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
822 30TH AVE S, MOORHEAD, MN 56560-5006
(218) 236-0807
(218) 236-4807
Mailing address
822 30TH AVE S, MOORHEAD, MN 56560-5006
(218) 236-0807
(218) 236-4807
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
118651
MN
Other
Enumeration date
03/08/2020
Last updated
03/08/2020
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