Individual
VICKI L KJOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3902 13TH AVE S, FARGO, ND 58103
(701) 364-6600
(701) 364-6628
Mailing address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-4222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0224
ND
363A00000X
Physician Assistant
9326
MN
363AM0700X
Medical Physician Assistant
5243
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
744746
—
AZ
Enumeration date
07/17/2006
Last updated
08/20/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us