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Contact Information

KAYLEE M BAKKE
1505 30TH AVE S
MOORHEAD, MN56560-5149
 Phone: 218-287-4338
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Behavior Technician

106S00000X
Indicates primary specialty

NPI Profile & details for KAYLEE M BAKKE · (Female)

NPI # 1902644099
Status Active
Credentials
Entity Individual
Enumeration date 07/15/2024
Last updated 04/01/2025 - More than a year ago
Sole proprietor 1 No
Identifiers Not Available
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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