Individual provider · Type 1 NPI

Kevin Kurt Axtman

Psychiatric/Mental Health Registered Nurse · West Fargo, ND

NPI number 1063955532 Active

Practice location

1115 Westport Beach Way Unit B
West Fargo, ND 58078-8848

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808XR35002 (ND)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1063955532

Kevin Kurt Axtman's National Provider Identifier is 1063955532, issued on Nov 30, 2016. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in West Fargo, ND. The record was last updated on Nov 30, 2016.