Individual
MARY JANE KADRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2601 32ND ST S, FARGO, ND 58103-7857
(701) 361-2087
Mailing address
2601 32ND ST S, FARGO, ND 58103-7857
(701) 361-2087
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10563
MN
363AM0700X
Medical Physician Assistant
PAC0113
ND
Other
Enumeration date
07/18/2006
Last updated
01/04/2023
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