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Organization

ST SOPHIE'S, LLC

Active
Parent organization
ST SOPHIE'S, LLC
Other names
St Sophie's Bismarck
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST SOPHIE'S, LLC
Authorized official
EMMET KENNEY MD (CEO)
(701) 365-4488
Entity
Organization

Contact information

Practice address
3000 N 14TH ST, STE 2A, BISMARCK, ND 58503-0697
(701) 365-4467
Mailing address
3120 25TH ST S STE Z, #344, FARGO, ND 58103-6164
(701) 365-4467

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
7174
ND

Other

Enumeration date
04/09/2013
Last updated
04/09/2013
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