Vida S Kent C.N.M.

NPI 1790769461 - Advanced Practice Midwife - 367A00000X

NPI Details
NPI 1790769461
Gender Female
Enumeration Date 12/06/2005
Last Updated 12/07/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
6490 EXCELSIOR BLVD
STE E111
ST LOUIS PARK MN, 55426-4705, US
Phone (952) 993-5029
Fax
Business Location
6465 WAYZATA BLVD
STE 315
ST LOUIS PARK MN, 55426-1728, US
Phone
Fax
Toxanomy
Taxonomy Code 367A00000X
License State Minnesota
License Number R115246-5
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According to our database, Ms. Vida S Kent C.N.M. NPI is 1790769461, taxonomy code is 367A00000X and license number is R115246-5, license state is located at Minnesota. Vida S Kent C.N.M. physically located at 6490 Excelsior Blvd, St Louis Park MN, 55426-4705. NPI Number Vida S Kent C.N.M. has the Individual type.

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1790769461 NPI number is provided on an as is basis without warranty of any kind. 1790769461 is maintained by the National Plan & Provider Enumeration System. The contents of Vida S Kent C.N.M. are for informational purposes only.