Individual
KIMISEAN LIGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 S 4TH ST, GRAND FORKS, ND 58201-4737
(701) 787-1295
Mailing address
215 S 4TH ST, GRAND FORKS, ND 58201-4737
(701) 787-1295
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172A00000X
Driver
—
—
174400000X
Specialist
—
—
Other
Enumeration date
09/09/2021
Last updated
05/01/2024
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