Individual
KENNETH DALE HOLMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1406 SIXTH AVE N, ST CLOUD, MN 56303-1900
(320) 240-2157
(320) 656-7099
Mailing address
1406 SIXTH AVE N, ST CLOUD, MN 56303-1900
(320) 240-2157
(320) 656-7099
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
24794
MN
Other
Enumeration date
05/27/2006
Last updated
02/06/2015
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