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KIM MATTERN
NPI 1619395407
Pharmacist - Nutrition Support in Bismarck, ND

Active since March 31, 2014
1105 PARKERPLUM DR, BISMARCK, ND 58503(701) 258-5395 Get Directions Write a Review

NPPES record last updated: March 31, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kim Mattern NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM MATTERN (NPI 1619395407) is an individual nutrition support provider in Bismarck, North Dakota, licensed in North Dakota (4077) and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1619395407
Entity TypeIndividualFemale
Primary Taxonomy1835N1003X
Provider Legal NameKIM MATTERN
Location Address1105 PARKERPLUM DRBismarck, ND 58503-8847
Mailing Address1105 Parkerplum DrBismarck, ND 58503-8847
Phone(701) 258-5395
Sole ProprietorYes
Enumeration DateMarch 31, 2014
✔ NPI 1619395407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Nutrition SupportPharmacy Service Providers
Taxonomy Code1835N1003X
License✔ Licensed in ND · 4077
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.
1105 PARKERPLUM DR, Bismarck, ND 58503
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Mattern's NPI number?

The NPI number for Kim Mattern is 1619395407. It was assigned to this individual provider in the NPPES registry on March 31, 2014.

Where is Kim Mattern located?

Kim Mattern practices at 1105 Parkerplum Dr, Bismarck, ND 58503. The listed phone number is (701) 258-5395.

What is Kim Mattern's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Nutrition Support, with taxonomy code 1835N1003X.

When was this NPI record last updated?

The NPPES record for Kim Mattern was last updated on March 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.