Whalio Doctors

NPI 1467820118

Kimberly Hawk Eagle, LPN

Practitioner Licensed Practical Nurse Fort Yates, ND

Practice location

Address
10 N River Road, Fort Yates, ND 58538
Phone
(701) 854-3831
Mailing address
PO Box J, Fort Yates, ND 58538-0527

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence L14719 (ND)

Registry record

NPI
1467820118
Entity type
Individual
Sex (as registered)
Female
NPI issued
11 Sep 2015
Record last updated
13 Feb 2020

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.