Individual
KELLEY JEAN VIGSTOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2305 37TH AVE SW, MINOT, ND 58701-7669
(701) 418-8342
Mailing address
1800 8TH ST SW, MINOT, ND 58701-6410
(701) 340-7141
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
R47259
ND
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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