Individual
MRS. KELLY COURTNEY DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1 BURDICK EXPY W, MINOT, ND 58701-4406
(701) 857-5000
Mailing address
809 NORMAL ST, MINOT, ND 58703-2258
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R35319
ND
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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