Kristy Leigh Iceman

NPI #1851166789 in Bemidji, Minnesota

Provider Information

NPI Number
1851166789
Entity Type
Individual
Name
Kristy Leigh Iceman
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Community Health Worker
Enumeration Date
Nov 21, 2023
Last Updated
Nov 21, 2023

Practice Location

Address
2560 RIDGEWAY AVE NW
ZIP Code
56601-2149
Phone
(218) 214-0752

Specialties & Taxonomy Codes

Specialty
Community Health Worker

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