Individual
KEVIN MATTHEW ELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4072 BIA 2 SOUTH, SAINT JOHN, ND 58369
(701) 477-0670
Mailing address
4072 BIA 2 SOUTH, SAINT JOHN, ND 58369
(701) 477-0670
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/07/2026
Last updated
07/07/2026
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