Individual
KATHY JANE BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LRD
Contact information
Practice address
800 S MAIN AVE, RUGBY, ND 58368-2118
(701) 776-5261
(701) 776-5448
Mailing address
206 15TH ST SW, RUGBY, ND 58368-2423
(701) 776-2948
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
517
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17665
BLUE CROSS BLUE SHIELD
ND
Enumeration date
04/06/2007
Last updated
07/08/2007
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