NPI 1013793173

Kal Datz

Practitioner Case Manager/Care Coordinator Grand Forks, ND

Practice location

Address: 311 S 4th St STE 111, Grand Forks, ND 58201-4792
Phone: (701) 260-5895

Registered specialties (2)

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Peer Specialist

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1013793173
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Sep 2023
Record last updated: 5 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.