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KATHY A HEITKAMP, CDE – NPI #1124043559
Nutrition, Education

NPI Profile for KATHY A HEITKAMP in FARGO, ND.

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Contact Information

KATHY A HEITKAMP, CDE
1702 UNIVERSITY DR S
FARGO, ND  58103-4940
 Phone: 701-364-3300
 Fax: 701-364-8906
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Nutrition, Education

 133NN1002X
Indicates primary specialty

NPI Profile & details for KATHY A HEITKAMP · (Female)

NPI Number 1124043559
Status Active
Credentials CDE
Entity Individual
Enumeration date 07/13/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • ND License # R11357
  • MN Other 18092 NDBS #
  • MN Other 18093 NDBS #
  • MN Other 18094 NDBS #
  • ND Other ND200036 LHS #
  • ND Other 15713 NDBS #
  • ND Other 18091 NDBS #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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