Individual
KYM L CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 530-6500
Mailing address
PO BOX 997, BISMARCK, ND 58502-0997
(701) 530-7000
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
9815
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1465696
—
ND
01
—
N722277
MEDICARE
ND
Enumeration date
07/19/2005
Last updated
06/07/2017
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