Magrum, Kelly

Magrum, Kelly is an individual health care provider with primary practice located at 309 Washington Ave , Williston ND 58801-5258. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Driver, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Magrum, Kelly can be contacted via phone (701) 580-4801.

Contact Information

Primary practice address
309 Washington Ave Williston ND 58801-5258
Phone: (701) 580-4801
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X North Dakota
Other Service Providers / Driver 172A00000X
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1427626415
LBN Legal business name Magrum, Kelly
Credentials Certified in Nursing Administration (CNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2021
Last updated Sep 9th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427626415 NPPES
North Dakota MEDICAID 1482572

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