Provider Demographics
NPI:1063485084
Name:PAAPE, KEVIN GORDON (DC)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:GORDON
Last Name:PAAPE
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:3240 15TH ST S
Mailing Address - Street 2:STE C
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-6188
Mailing Address - Country:US
Mailing Address - Phone:701-451-9070
Mailing Address - Fax:701-364-5318
Practice Address - Street 1:3290 20TH ST SW
Practice Address - Street 2:SUITE 4
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-5917
Practice Address - Country:US
Practice Address - Phone:701-451-9070
Practice Address - Fax:701-364-5318
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-09
Last Update Date:2020-02-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ND691111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN929649200Medicaid
ND12243Medicaid
NDU83111Medicare UPIN