Individual
RYAN T KESSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
(701) 364-8078
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
(701) 364-8906
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0267
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0111441
MEDICA #
ND
01
—
0111442
MEDICA #
MN
01
—
0111443
MEDICA #
MN
01
—
0118217
MEDICA #
ND
01
—
142336
UCARE #
ND
01
—
1783081
AMERICA'S PPO/ARAZ #
ND
01
—
20679
NDBS #
MN
05
—
270400500
—
ND
01
—
43G59KE
MNBS #
MN
01
—
43G60KE
MNBS #
MN
01
—
45G58KE
MNBS #
ND
01
—
DA9011028272
PREFERRED ONE #
ND
01
—
HP28585
HEALTHPARTNERS #
ND
Enumeration date
07/10/2006
Last updated
07/13/2012
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