Individual
KRISTY HENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 2ND ST E, BOTTINEAU, ND 58318-1104
(701) 228-3743
Mailing address
309 2ND ST E, BOTTINEAU, ND 58318-1104
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2800
ND
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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