NPI 1578817466

Kelly Leah Glick, PAC

Practitioner Physician Assistant Dickinson, ND

Practice location

Address: 2500 Fairway St, Dickinson, ND 58601-2639
Phone: (701) 456-4200
Fax: (701) 456-4545

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PAC0507 (ND)

Other Physician Assistant providers in North Dakota →

Registry record

NPI: 1578817466
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Oct 2012
Record last updated: 15 Mar 2017

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.