Individual
SARAH KENNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1220 SHEYENNE ST, WEST FARGO, ND 58078-2637
(701) 367-9379
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F08180406
ND
Other
Enumeration date
08/10/2018
Last updated
03/30/2022
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