SearchMinnesota363LA2200X

Kimberly Hanson

NPI 1649830225 · on the registry since 2019 · sole proprietor

Practice

Address
1884 Randolph Ave
Saint Paul, MN 55105
Phone
(651) 287-7777

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-06-17

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