Provider Demographics
NPI:1831269745
Name:FOLKERS, KEVIN FLOYD (MD)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:FLOYD
Last Name:FOLKERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2043 N BELL ST
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-1584
Mailing Address - Country:US
Mailing Address - Phone:701-255-4658
Mailing Address - Fax:
Practice Address - Street 1:CBOC BISMARCK
Practice Address - Street 2:GATEWAY MALL 2700 STATE ST.
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503
Practice Address - Country:US
Practice Address - Phone:701-221-9152
Practice Address - Fax:701-221-0918
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND5353207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine