Provider Demographics
NPI:1366977936
Name:DARGAY, KRISTEN
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:DARGAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 17TH AVE E STE 1
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:MN
Mailing Address - Zip Code:56308-0057
Mailing Address - Country:US
Mailing Address - Phone:320-759-4326
Mailing Address - Fax:320-759-4327
Practice Address - Street 1:111 17TH AVE E STE 1
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:MN
Practice Address - Zip Code:56308-0057
Practice Address - Country:US
Practice Address - Phone:320-759-4326
Practice Address - Fax:320-759-4327
Is Sole Proprietor?:No
Enumeration Date:2017-04-20
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN9628231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNP02152158OtherMEDICARE RAILROAD