Individual
KEVIN RAY FORDERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13801 10TH AVE SE, BISMARCK, ND 58504-3827
(701) 527-2282
Mailing address
13801 10TH AVE SE, BISMARCK, ND 58504-3827
(701) 527-2282
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/25/2020
Last updated
11/09/2020
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