Individual
KIA PATTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
222 UNIVERSITY AVE, WILLISTON, ND 58801-5658
(701) 572-6757
(701) 222-3186
Mailing address
PO BOX 2397, WILLISTON, ND 58802-2397
(701) 572-6757
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1584
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811400799
—
ND
Enumeration date
11/14/2017
Last updated
09/13/2023
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