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KELLY BAK642932 BAKKEN

Active Sole Proprietor

KELLY BAK642932 BAKKEN is a Foot & Ankle Surgery healthcare provider located in GRAND FORKS, North Dakota. NPI 1679458186 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery · GRAND FORKS, ND

Registration Details

NPI Number
1679458186
Provider Type
Individual
Gender
Unknown
NPI Issued
Aug 6, 2025 (1.008290155669 yrs)
Last Updated
Aug 6, 2025
Sole Proprietor
Yes

Practice Information

Address
409 OAK ST
GRAND FORKS, ND, 582014453
Browse ND providers · Browse ZIP 58201
Phone
7014107862
Primary Specialty
Foot & Ankle Surgery
3747P1801X

Other Foot & Ankle Surgery Providers in GRAND FORKS, ND

Name Credential NPI
MERIDEE SUE DANKS PT 1255534392
ALICE MARIE REICH 1477101996
SUSAN R MILLER 1932706231
SHERRYL FRANCES KVAMME 1780282954
CATHIE RUTH SCHULTZ 1780282178
ZELJKA CURIC 1720686181
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.