Provider Demographics
NPI:1811592181
Name:KES, VANESSA (DNP, APRN, WHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:VANESSA
Middle Name:
Last Name:KES
Suffix:
Gender:F
Credentials:DNP, APRN, WHNP-BC
Other - Prefix:DR
Other - First Name:VANESSA
Other - Middle Name:
Other - Last Name:KES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5750 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-7593
Mailing Address - Country:US
Mailing Address - Phone:701-620-3403
Mailing Address - Fax:
Practice Address - Street 1:5750 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-7593
Practice Address - Country:US
Practice Address - Phone:701-620-3403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-03
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN11093363LW0102X
FL1100018363LW0102X
NDR55223363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health