Matthew Kindem, RN
Individual provider Active NPI Medical-Surgical Registered Nurse · Fargo, ND
NPI 1407679574 · NPPES record last updated Nov 6, 2024
Key facts
- NPI
- 1407679574
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical-Surgical Registered Nurse 163WM0705X
- License
- R51125 (ND)
- Practice address
- 2101 Elm St N
Fargo, ND 58102-2417 - Phone
- (701) 239-3767
- NPI assigned
- Nov 6, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R51125 | ND | MD | Medical-Surgical Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | R51125 | ND | Yes |
Addresses
Primary practice location
2101 Elm St N
Fargo, ND 58102-2417
Mailing address
2101 Elm St N
Fargo, ND 58102-2417
Other providers in Fargo, ND
- Jennifer Kimball Walter
- Chelsea Kimmes
- Kin & Care ND LLC
- Katherine Kincaid
- Kelsey Kincaid
- Jenny Lynn Kinder
- Kindness Wings of Angels Services
- Kindness Wings of Angels Services
- Katie Jean King
- Katie Marie King
All providers in Fargo, ND · Medical-Surgical Registered Nurse in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2024. 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.