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Valley Dermatology Clinic PC

Dermatology Physician in Fargo, ND · enumerated 2006 · authorized official Kimberly Kelly, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1043380223

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Registry record

Entity type Organization (Type 2)
Legal business name Valley Dermatology Clinic PC
Practice address 3270 20th St S, Fargo, ND, 58104
Fax (701) 235-2099
Enumeration date Nov 8, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Kimberly Kelly
Title Owner

Other identifiers

Identifier Type State Issuer
06546001 Other ND BLUE SHIELD
13495 Medicaid ND -
510R8VA Other MN BLUE SHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Valley Dermatology Clinic PC?
Valley Dermatology Clinic PC is registered in NPPES as a Dermatology Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.