| Kelly Gahlon, FNP-C | |
| 
					1300 S Columbia Rd, Grand Forks, ND 58201-4012  | |
| (701) 780-6000 | |
| Not Available | 
| Full Name | Kelly Gahlon | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1300 S Columbia Rd, Grand Forks, North Dakota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1316728850 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R33323 (North Dakota) | Primary | 
| Entity Name | Altru Health System | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1043309552 PECOS PAC ID: 1355251604 Enrollment ID: O20031111000714  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kelly Gahlon, FNP-C 3065 Demers Ave, Grand Forks, ND 58201-4018 Ph: (701) 780-1891  | Kelly Gahlon, FNP-C 1300 S Columbia Rd, Grand Forks, ND 58201-4012 Ph: (701) 780-6000  | 
Ms. Estella Ann Boger, GNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000  | |
Bethann Marie Nuelle, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4700 S Washington St, Grand Forks, ND 58201 Phone: 701-757-2559  | |
Kaitlyn Rose Vagle, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000  | |
Ms. Mary Pat Holler-bibel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 718 Oak St, Grand Forks, ND 58201 Phone: 218-230-0070 Fax: 800-958-7702  | |
Kayla Clausen, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 960 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5400 Fax: 701-780-6416  | |
Kelsey Vivatson, PMHNP-BC, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2534 17th Ave S Ste E, Grand Forks, ND 58201 Phone: 701-885-4551 Fax: 701-757-1351  | |
Laura Olson,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1300 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-2300 Fax: 701-780-6940  |