Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kayla Rae Odegard Tiberio, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417397324

Kayla Rae Odegard Tiberio, MD is a Student in an Organized Health Care Education/Training Program in Grand Forks, North Dakota. Licensed in North Dakota. Registered with an NPI since 2013.

Licensed in
ND
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1200 S Columbia Rd - Altru Hospital
Grand Forks, ND 58201
Phone: (701) 780-5280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 14221 (ND)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417397324
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2013
Last updated in NPPESMarch 26, 2019

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