Kory David Annis
Kory David Annis is a Peer Specialist in Bismarck, North Dakota. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
2403 E Thayer AveBismarck, ND 58501-5014
Phone: (701) 595-9564
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|---|
| Driver | Taxonomy 172A00000X |
Record details
| NPI number | 1477262764 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 16, 2022 |
| Last updated in NPPES | April 25, 2024 |
| Certification date | April 25, 2024 |
| Mailing address | 2403 E Thayer Ave, Bismarck, ND 58501-5014 |
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