MEDICARE: KENDRA K ZINS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	R46346	ND

General Provider Information

NPI Number	:	1588243422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENDRA K ZINS

Provider Business Mailing Address
First Line	:	300 W CENTURY AVE STE B
Second Line	:
City	:	BISMARCK
State	:	ND
Zip	:	58503-4900
Country	:	US
Telephone Number	:	701-663-5373
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 W CENTURY AVE STE B
Second Line	:
City	:	BISMARCK
State	:	ND
Zip	:	58503-4900
Country	:	US
Telephone Number	:	701-633-5373
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2021
Last Update Date	:	02/22/2024

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Directions to “ KENDRA K ZINS ” Practice Location

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