Individual
KAYLA MADSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LRD
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3241
Mailing address
2101 ELM ST N, FARGO, ND 58102-2417
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1304
ND
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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