Individual
KEVIN JOHN HOLMGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NREMT
Contact information
Practice address
308 3RD AVE NE, KENMARE, ND 58746-7406
(701) 822-1877
Mailing address
308 3RD AVE NE, KENMARE, ND 58746-7406
(701) 822-1877
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
E3633212
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153102
ND EMS
ND
Enumeration date
04/29/2022
Last updated
04/29/2022
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