Individual
KELLIE J LAUMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
33 9TH ST W, DICKINSON, ND 58601-3993
(701) 483-6017
(701) 483-5018
Mailing address
33 9TH ST W, DICKINSON, ND 58601-3993
(701) 483-6017
(701) 483-5018
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0323
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PAC0323
LICENSE
ND
Enumeration date
01/13/2006
Last updated
07/07/2015
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