Provider Demographics
NPI:1780903864
Name:SUNDBY, HALEY KATHRYN (DC)
Entity type:Individual
Prefix:DR
First Name:HALEY
Middle Name:KATHRYN
Last Name:SUNDBY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 YORKTOWN DR
Mailing Address - Street 2:STE 3
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-8518
Mailing Address - Country:US
Mailing Address - Phone:701-712-8588
Mailing Address - Fax:
Practice Address - Street 1:3001 YORKTOWN DR
Practice Address - Street 2:STE 3
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-8518
Practice Address - Country:US
Practice Address - Phone:701-712-8588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-27
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND863111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor