Individual
KHALIN F DENDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 N 7TH ST, BISMARCK, ND 58501-4436
(701) 323-8030
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12196
ND
207R00000X
Internal Medicine Physician
52976
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16947
—
ND
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
01
—
P00918776
MEDICARE - RAIL ROAD
MN
Enumeration date
07/07/2009
Last updated
02/03/2022
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