Individual
KIM E FISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 10TH AVE S STE A, HOPKINS, MN 55343-7505
(952) 767-0672
(952) 500-9955
Mailing address
11 10TH AVE S STE A, HOPKINS, MN 55343-7505
(952) 767-0672
(952) 500-9955
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
6400
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689935686
NPPES
—
Enumeration date
08/30/2007
Last updated
10/16/2020
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