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Kristy Iceman

NPI 1851166789 · on the registry since 2023

Practice

Address
2560 Ridgeway Ave Nw
Bemidji, MN 56601
Phone
(218) 214-0752

Registry record

Primary taxonomy
172V00000X
172V00000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-11-21

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 Minnesota