NPI 1093375370

Kyle Cleasby

Practitioner Student in an Organized Health Care Education/Training Program Fargo, ND

Practice location

Address: 1919 Elm St N, Fargo, ND 58102-2416
Phone: (701) 293-4113
Fax: (701) 293-4109
Mailing address: 1463 I94 Business Loop E, Dickinson, ND 58601-6434

Registered specialties (2)

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in North Dakota →

Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 18990 (ND)

Other Psychiatry & Neurology providers in North Dakota →

Registry record

NPI: 1093375370
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jun 2019
Record last updated: 23 Jan 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.