Individual
KENDRA BOHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
709 4TH AVE NE, WATFORD CITY, ND 58854-7628
(701) 842-3000
Mailing address
709 4TH AVE NE, WATFORD CITY, ND 58854-7628
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC1174
ND
Other
Enumeration date
01/11/2025
Last updated
07/07/2026
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