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Kenyetta Booker
NPI 1558107714 · on the registry since 2024 · sole proprietor
Practice
- Address
- 13650 Marsh View Blvd Apt 102
Rogers, MN 55374 - Phone
- (318) 302-9192
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-01-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota