Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM MATTERN
Active Sole ProprietorKIM MATTERN is a Nutrition Support Pharmacist healthcare provider located in BISMARCK, North Dakota. NPI 1619395407 is currently active in the NPPES registry. Verify at CMS.
Nutrition Support Pharmacist · BISMARCK, ND
Registration Details
- NPI Number
- 1619395407
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 31, 2014 (12.381650448876 yrs)
- Last Updated
- Mar 31, 2014
- License
-
4077 (ND)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1105 PARKERPLUM DRBISMARCK, ND, 585038847Browse ND providers · Browse ZIP 58503
- Phone
- 7012585395
- Primary Specialty
-
Nutrition Support Pharmacist
1835N1003X
Other Nutrition Support Pharmacist Providers in BISMARCK, ND
| Name | Credential | NPI |
|---|---|---|
| MR. JOHN THOMAS SAVAGEAU | RPH | 1619916764 |
| DR. DEBRA JOHNSON MCPHERSON | — | 1447321567 |
| DR. DANIEL PETER MCPHERSON | PHARM.D. | 1972722775 |
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.