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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEVIN KURT AXTMAN

Active

Child & Adolescent Psychiatric Nurse · WEST FARGO, ND

Registration Details

NPI Number
1063955532
Provider Type
Individual
Gender
Male
NPI Issued
Nov 30, 2016 (9.4242013631839 yrs)
Last Updated
Nov 30, 2016
License
R35002 (ND)

Practice Information

Address
1115 WESTPORT BEACH WAY UNIT B
WEST FARGO, ND, 580788848
Browse ND providers · Browse ZIP 58078
Phone
7012401758
Primary Specialty
Child & Adolescent Psychiatric Nurse
163WP0808X

Other Child & Adolescent Psychiatric Nurse Providers in WEST FARGO, ND

Name Credential NPI
KASAR MAII RN 1124702527
IKPONMWOSA FRANCES ITUA MSN 1073468336
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.