Individual
KENDRA BOHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
132 4TH AVE NE, VALLEY CITY, ND 58072-3056
(701) 845-8060
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC1174
ND
Other
Enumeration date
01/11/2025
Last updated
07/23/2025
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