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Individual

DR. KEVIN IHRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1411 32ND ST S, FARGO, ND 58103-6304
(701) 232-1232
(701) 241-4175
Mailing address
1411 32ND ST S, FARGO, ND 58103-6304
(701) 232-1232
(701) 241-4175

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
485
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10489
BS ND PROVIDER NUMBER
ND
05
16551
ND
Enumeration date
11/20/2006
Last updated
07/08/2007
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