Individual
KELLY A BORGERDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LRD
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-5884
Mailing address
PO BOX 2168, FARGO, ND 58107-2168
(701) 234-2119
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
987
ND
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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