New Kingdom Healthcare Pa

NPI 1306237185 - Clinic/Center - 261QM1300X

NPI Details
NPI 1306237185
Enumeration Date 02/14/2015
Last Updated 02/14/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name ROBERT JOHN ROBERT
Position PRESIDENT
Phone (952) 999-0333
Fax
Practice Location
6452 CITY WEST PKWY
EDEN PRAIRIE MN, 55344-3245, US
Phone (952) 999-0333
Fax
Business Location
6452 CITY WEST PKWY
EDEN PRAIRIE MN, 55344-3245, US
Phone (952) 999-0333
Fax
Toxanomy
Taxonomy Code 261QM1300X
License State Minnesota
License Number 44503
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According to our database, New Kingdom Healthcare Pa NPI is 1306237185, taxonomy code is 261QM1300X and license number is 44503, license state is located at Minnesota. New Kingdom Healthcare Pa physically located at 6452 City West Pkwy, Eden Prairie MN, 55344-3245. NPI Number 1033115704 has the healthcare provider type.

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1306237185 NPI number is provided on an as is basis without warranty of any kind. 1306237185 is maintained by the National Plan & Provider Enumeration System. The contents of New Kingdom Healthcare Pa are for informational purposes only.