NPI 1164186813

Kyle Christianson

Practitioner Peer Specialist Moorhead, MN

Practice location

Address: 1401 8th St S # 3, Moorhead, MN 56560-3606
Phone: (701) 261-7694

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 8354 (MN)

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Registry record

NPI: 1164186813
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Oct 2021
Record last updated: 28 Oct 2021

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.