NPI 1710160379 · live from the CMS NPI Registry
Kara Denae Eickman, M.D.
Psychiatry & Neurology, Neurology in Fargo, ND. National Provider Identifier 1710160379, active.
NPI record
| NPI | 1710160379 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 2301 25th St S, Fargo, ND 58103 |
| Practice phone | 701-234-7400 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117 |
| Enumerated | December 6, 2007 |
| Last updated | May 22, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 11645 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.