Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Physician Management Services of North Dakota, LLC

Organization Family Medicine Physician · NPI 1093562431

Physician Management Services of North Dakota, LLC provides Family Medicine Physician services in Park River, North Dakota. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

115 Vivian St
Park River, ND 58270-0708
Phone: (888) 829-8550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1093562431
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationVaxcare Corporation
Authorized official Brett Kenefick — President · (888) 829-8550
NPI enumeratedMay 3, 2024
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024
Mailing address3113 Lawton Rd Ste 250, Orlando, FL 32803-3517

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