Individual
MS. LONNIE RENE KIRKENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2 ENTERPRISE AVE NE STE C1, ISANTI, MN 55040-6811
(763) 444-8700
(763) 434-0192
Mailing address
2 ENTERPRISE AVE NE STE C1, ISANTI, MN 55040-6811
(763) 444-8700
(763) 434-0192
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8150
MN
Other
Enumeration date
01/18/2007
Last updated
09/05/2008
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