Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Vicki L Kjos, PA-C

Individual provider Medical Physician Assistant · NPI 1982621454

Vicki L Kjos, PA-C is a Physician Assistant in Fargo, North Dakota. Qualified in 2003, 23 years ago. Accepts Medicare assignment. Licensed in Arizona, Minnesota and North Dakota.

Years since qualifying
23
Licensed in
AZ, MN, ND
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3902 13th Ave S
Fargo, ND 58103
Phone: (701) 364-6600
Fax: (701) 364-6628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0224 (ND)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 5243 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 9326 (MN)

Record details

NPI number1982621454
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESAugust 20, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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