Individual
MRS. KIMBERLY S THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 232-3241
Mailing address
121 5TH AVE W, SABIN, MN 56580-4147
(612) 554-3890
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R51794
ND
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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