Individual
KELSEY HEGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 FOREST ST, LISBON, ND 58054-4136
(701) 683-6170
(701) 683-6168
Mailing address
404 FOREST ST, PO BOX 89, LISBON, ND 58054
(701) 683-6170
(701) 683-6168
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R37270
ND
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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