Individual
LOUISE KERVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
300 5TH AVE N, ISANTI, MN 55040-7480
(763) 688-9700
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1624
MN
Other
Enumeration date
12/19/2016
Last updated
03/29/2024
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