Individual
JANELL KJOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, BC
Contact information
Practice address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 847-5611
(218) 847-0881
Mailing address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 847-5611
(218) 847-0881
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R155546-0
MN
363LF0000X
Family Nurse Practitioner
R28369
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063414084
—
MN
Enumeration date
08/10/2005
Last updated
09/13/2012
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