Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kim Mattern

Individual provider Nutrition Support Pharmacist · NPI 1619395407

Kim Mattern is a Nutrition Support Pharmacist in Bismarck, North Dakota. Practices as a sole proprietor. Licensed in North Dakota.

Licensed in
ND
In the registry since
2014
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Practice location Address checks out

1105 Parkerplum Dr
Bismarck, ND 58503-8847
Phone: (701) 258-5395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutrition Support Pharmacist (primary) Taxonomy 1835N1003X · Licence 4077 (ND)

Record details

NPI number1619395407
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 31, 2014
Last updated in NPPESMarch 31, 2014

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