Kenneth Dale Holmen MD

NPI 1083661813 - Anesthesiology - 207L00000X

NPI Details
NPI 1083661813
Gender Male
Enumeration Date 05/27/2006
Last Updated 02/06/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
1406 SIXTH AVE N
ST CLOUD MN, 56303-1900, US
Phone (320) 240-2157
Fax (320) 656-7099
Business Location
1406 SIXTH AVE N
ST CLOUD MN, 56303-1900, US
Phone (320) 240-2157
Fax (320) 656-7099
Toxanomy
Taxonomy Code 207L00000X
License State Minnesota
License Number 24794
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According to our database, Kenneth Dale Holmen MD NPI is 1083661813, taxonomy code is 207L00000X and license number is 24794, license state is located at Minnesota. Kenneth Dale Holmen MD physically located at 1406 Sixth Ave N, St Cloud MN, 56303-1900. NPI Number Kenneth Dale Holmen MD has the Individual type.

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1083661813 NPI number is provided on an as is basis without warranty of any kind. 1083661813 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth Dale Holmen MD are for informational purposes only.