Organization
KINGDOM PATHWAYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MICHAUD (EXECUTIVE DIRECTOR)
(651) 387-8393
Entity
Organization
Contact information
Practice address
426 OXFORD ST N, SAINT PAUL, MN 55104-5080
(651) 917-3227
Mailing address
11825 BITTERSWEET ST NW, COON RAPIDS, MN 55433-2917
(651) 387-8393
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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