Michael Anthony Kerian
Individual provider Active NPI Respite Care · Minto, ND
NPI 1235940974 · NPPES record last updated Jan 14, 2025
Key facts
- NPI
- 1235940974
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Respite Care 385H00000X
- Practice address
- 15109 63Rd St NE
Minto, ND 58261-9438 - Phone
- (701) 360-0456
- NPI assigned
- Jan 14, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | Yes |
Addresses
Primary practice location
15109 63Rd St NE
Minto, ND 58261-9438
Mailing address
15109 63Rd St NE
Minto, ND 58261-9438
Phone (701) 360-0456
Other providers in Minto, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.