Individual
MR. KENT R PICKRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1512
(612) 672-6000
Mailing address
4745 BRISTOL BLVD, EAGAN, MN 55123-3989
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R -099654-1
MN
Other
Enumeration date
02/27/2006
Last updated
04/24/2008
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