Tiffany, Kelly D

Tiffany, Kelly D is an individual health care provider with primary practice located at 314 Ohmer St , Bottineau ND 58318-1059. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tiffany, Kelly D can be contacted via phone (701) 228-9400.

Contact Information

Primary practice address
314 Ohmer St Bottineau ND 58318-1059
Phone: (701) 228-9400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R26835 North Dakota

Profile Details

NPI number 1962989459
LBN Legal business name Tiffany, Kelly D
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2018
Last updated Jul 26th, 2018 - about 6 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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