Individual
MRS. NANCY LEE KIENZLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
444 4TH ST W, DICKINSON, ND 58601-4951
(701) 456-0012
(701) 456-0005
Mailing address
846 13TH ST W, DICKINSON, ND 58601-3535
(701) 225-1032
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
662
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59657
—
ND
Enumeration date
03/08/2007
Last updated
07/09/2007
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