Individual
DR. KYLIE MARIE KNAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
11601 MINNETONKA MILLS RD, MINNETONKA, MN 55305-5161
(952) 938-8858
Mailing address
11601 MINNETONKA MILLS RD, MINNETONKA, MN 55305
(952) 938-8858
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14118
MN
1223G0001X
General Practice Dentistry
DN1857655
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043730237
—
MN
Enumeration date
06/20/2017
Last updated
06/11/2019
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