Kenneth Backen, LICENSED ADDICTION C

NPI 1003659962 · on the registry since 2024 · sole proprietor

Practice

Address: 900 N Broadway Ste 300
Minot, ND 58703
Phone: (701) 537-4191
Fax: (701) 786-7174
Organisation at this address: Faa Addiction Services
Faa Addiction Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: ND
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-06-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Dakota