Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kim Mattern

Individual provider Nutrition Support Pharmacist · NPI 1619395407

Kim Mattern is a Nutrition Support Pharmacist in Bismarck, North Dakota. Practices as a sole proprietor. Licensed in North Dakota.

Licensed in
ND
In the registry since
2014
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Practice location Address checks out

1105 Parkerplum Dr
Bismarck, ND 58503-8847
Phone: (701) 258-5395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutrition Support Pharmacist (primary) Taxonomy 1835N1003X · Licence 4077 (ND)

Record details

NPI number1619395407
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 31, 2014
Last updated in NPPESMarch 31, 2014
Mailing address1105 Parkerplum Dr, Bismarck, ND 58503-8847

Other providers in Bismarck