Individual
DASEAN KYSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1003 KERSTEN ST, BOTTINEAU, ND 58318-1828
(208) 290-0169
Mailing address
1003 KERSTEN ST, BOTTINEAU, ND 58318-1828
(208) 290-0169
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
07/28/2012
Last updated
07/28/2012
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