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Individual

KRISTIE ANN KINZELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1661 89TH AVE SE, COURTENAY, ND 58426-9710
(701) 320-8742
Mailing address
1661 89TH AVE SE, COURTENAY, ND 58426-9710
(701) 320-8742

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R31472
ND
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
R31472
ND
163WC0400X
Case Management Registered Nurse
R31472
ND
163WP0808X
Psychiatric/Mental Health Registered Nurse
R31472
ND

Other

Enumeration date
11/13/2024
Last updated
11/13/2024
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