Kobe McKay

Individual provider Active NPI Personal Care Attendant · Hampden, ND

NPI 1821743667 · NPPES record last updated Feb 21, 2022

Key facts

NPI
1821743667
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
305 2ND Avenue S
Hampden, ND 58338-5833
Phone
(701) 381-9752
NPI assigned
Feb 21, 2022
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)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

305 2ND Avenue S
Hampden, ND 58338-5833

Mailing address

PO Box 123
Hampden, ND 58338-0123
Phone (701) 381-9752

Other providers in Hampden, ND

All providers in Hampden, ND · Personal Care Attendant in North Dakota

Sources for this page

Verify at the official NPI Registry.