Wysuph, Kalee Irene

Wysuph, Kalee Irene is an individual health care provider with primary practice located at 1702 University Dr S , Fargo ND 58103-4940. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Wysuph, Kalee Irene can be contacted via phone (701) 364-3300.

Contact Information

Primary practice address
1702 University Dr S Fargo ND 58103-4940
Phone: (701) 364-3300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R42839 North Dakota

Profile Details

NPI number 1972132249
LBN Legal business name Wysuph, Kalee Irene
Credentials APRN,CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2020
Last updated Apr 28th, 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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