Provider Demographics
NPI:1548006687
Name:ARENDS, KYLE JAMES
Entity type:Individual
Prefix:MR
First Name:KYLE
Middle Name:JAMES
Last Name:ARENDS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 13TH ST W
Mailing Address - Street 2:
Mailing Address - City:BOTTINEAU
Mailing Address - State:ND
Mailing Address - Zip Code:58318-2039
Mailing Address - Country:US
Mailing Address - Phone:701-230-0801
Mailing Address - Fax:
Practice Address - Street 1:101 13TH ST W
Practice Address - Street 2:
Practice Address - City:BOTTINEAU
Practice Address - State:ND
Practice Address - Zip Code:58318-2039
Practice Address - Country:US
Practice Address - Phone:701-230-0801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant