Female

Rebecca A. Kiecker NP-C

Nurse Practitioner in Fargo, ND(View on Map)

Full Name

Rebecca Ann Kiecker NP-C

NPI Number

1043599277

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/05/2011

Specialties

(Taxonomies)

Code

363L00000X

Primary Taxonomy

Yes

Licenses

State

North Dakota
South Dakota

License Number

R29811
CP000658

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 5074
1720 SOUTH UNIVERSITY DRIVE

City

Sioux Falls
Fargo

State

SD
ND

Postal Code

57117-5074
58103

Country

US
US

Telephone Number

(605) 328-6585
(701) 234-2000

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/16/2020

Provider Address

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