Individual
EVERLYNE KEMUNTO KIMORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1674 AUGUST DR, SHAKOPEE, MN 55379-7740
(651) 353-5861
Mailing address
1674 AUGUST DR, SHAKOPEE, MN 55379-7740
(651) 353-5861
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2429362
MN
Other
Enumeration date
01/11/2025
Last updated
01/11/2025
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