Individual
LOREEN L KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNNP
Contact information
Practice address
345 SMITH AVE N, SAINT PAUL, MN 55102-2346
(651) 220-6210
Mailing address
345 SMITH AVE N, SAINT PAUL, MN 55102-2346
(651) 220-6210
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
R1274738
MN
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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