Individual
KENNETH MERRILL JOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
41 4TH AVE W, SHERWOOD, ND 58782-4108
(701) 818-3206
Mailing address
PO BOX 183, SHERWOOD, ND 58782-0183
(701) 818-3026
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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