Whalio Doctors

NPI 1588959472

Kyle D Johnson, MD

Practitioner Otolaryngology Physician West Fargo, ND

Practice location

Address
350 23rd Avenue E STE 102, West Fargo, ND 58078-7402
Phone
(701) 235-1924
Fax
(701) 235-6304

Registered specialties

Otolaryngology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 14194 (ND)

Registry record

NPI
1588959472
Entity type
Individual
Sex (as registered)
Male
NPI issued
18 Jun 2011
Record last updated
18 Sep 2024

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.