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Individual

KIMBERLY MARY STAEBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Mailing address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R039896
SD
363L00000X
Nurse Practitioner
Primary
9612
MN
363L00000X
Nurse Practitioner
A164641
IA

Other

Enumeration date
06/29/2021
Last updated
05/15/2025
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