KIM MATTERN NPI 1619395407

NPI Information

NPI: 1619395407
Provider Name: KIM MATTERN
Classification: Pharmacist - 1835N1003X
Entity Type: Individual

Specialization: Nutrition Support

Address:
1105 PARKERPLUM DR
BISMARCK, ND
ZIP 58503
Phone: (701) 258-5395
Get Directions

Kim Mattern is a nutrition support pharmacist in Bismarck, ND. The provider is a licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. Kim Mattern NPI is 1619395407. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1105 PARKERPLUM DR
BISMARCK, ND
ZIP 58503-847
Phone: (701) 258-5395

The enumeration date for this NPI number is 3/31/2014 and was last updated on 3/31/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1835N1003X	Pharmacist	Nutrition Support	4077	NORTH DAKOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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