Most Relevant Information
Provider Data
| NPI Number: | 1003432675 |
| Provider Name: | KAILEE WILLAIMS |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/19/2020 |
| Last Updated: | 06/19/2020 |
Provider Practice Location
1806 E FIR AVE STE 200
FERGUS FALLS
MN
565373921
Practice Location Phone/Fax
| Phone: | 2182874338 |
| Fax: |
Provider Mailing Location
891 BELSLY BLVD
MOORHEAD
MN
565605055
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |