Individual
TYSON KUDRNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1674 15TH ST W STE 1, DICKINSON, ND 58601-2811
(701) 483-8686
Mailing address
1674 15TH ST W STE 1, DICKINSON, ND 58601-2811
(701) 483-8686
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2267
ND
225100000X
Physical Therapist
Primary
CP002849T
UT
Other
Enumeration date
05/13/2020
Last updated
06/09/2020
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