Individual
KEVYN AYN FUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1710 SUBURBAN AVE, SAINT PAUL, MN 55106-6636
(651) 254-3200
Mailing address
3524 44TH AVE S, MINNEAPOLIS, MN 55406-2904
(775) 324-0493
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2686
MN
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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