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KELLY BAK642932 BAKKEN
NPI 1679458186
Technician - Personal Care Attendant in Grand Forks, ND

Active since August 06, 2025
409 OAK ST, GRAND FORKS, ND 58201(701) 410-7862 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Bak642932 Bakken NPPES

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

KELLY BAK642932 BAKKEN (NPI 1679458186) is an individual personal care attendant in Grand Forks, North Dakota and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1679458186
Entity TypeIndividual
Primary Taxonomy3747P1801X
Provider Legal NameKELLY BAK642932 BAKKEN
Location Address409 OAK STGrand Forks, ND 58201-4453
Mailing Address409 Oak StGrand Forks, ND 58201-4453 · (701) 410-7862
Phone(701) 410-7862
Sole ProprietorYes
Enumeration DateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
✔ NPI 1679458186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
409 OAK ST, Grand Forks, ND 58201
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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 Kelly Bakken's NPI number?

The NPI number for Kelly Bakken is 1679458186. It was assigned to this individual provider in the NPPES registry on August 6, 2025.

Where is Kelly Bakken located?

Kelly Bakken practices at 409 Oak St, Grand Forks, ND 58201. The listed phone number is (701) 410-7862.

What is Kelly Bakken's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Kelly Bakken was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.