Kelly J Burns ATC

NPI 1164577482 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1164577482
Gender Male
Enumeration Date 01/25/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2301 25TH ST S
FARGO ND, 58103-6104, US
Phone (701) 280-2406
Business Location
3928 3RD ST S
MOORHEAD MN, 56560-5602, US
Phone (218) 236-9913
Taxonomy Code 2255A2300X
License State North Dakota
License Number 047-87
Remove 1164577482 NPI Number

According to our database, Mr. Kelly J Burns ATC NPI is 1164577482, taxonomy code is 2255A2300X and license number is 047-87, license state is located at North Dakota. Kelly J Burns ATC physically located at 2301 25th St S, Fargo ND, 58103-6104. NPI Number Kelly J Burns ATC has the Individual type.

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1164577482 NPI number is provided on an as is basis without warranty of any kind. 1164577482 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly J Burns ATC are for informational purposes only.