Kimberly Bultema, is a
Speech-language Pathologist based in Wilton, North Dakota. Kimberly Bultema is licensed to practice in North Dakota (license number 1106) and her current practice location is
504 Dakota Ave, Wilton, North Dakota. She can be reached at her office (for appointments etc.) via phone at
(701) 734-6559.
NPI number for Kimberly Bultema is 1053702290 and her current mailing address is 215 2nd St Se, Minot, North Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053702290.
Healthcare Provider's Profile
| Full Name | Kimberly Bultema |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
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| Location | 504 Dakota Ave, Wilton, North Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1053702290
- Provider Enumeration Date: 02/10/2015
- Last Update Date: 02/10/2015
Medical Identifiers
Medical identifiers for Kimberly Bultema such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053702290 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 1106 (North Dakota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Bultema is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kimberly Bultema,
215 2nd St Se,
Minot, ND 58701-3924
Ph: (701) 857-4411 | Kimberly Bultema,
504 Dakota Ave,
Wilton, ND 58579-7113
Ph: (701) 734-6559 |
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