Individual
GERENE ROBERTA KINKAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1148 GRAND AVE, SAINT PAUL, MN 55105-2628
(651) 690-5352
Mailing address
1148 GRAND AVE, SAINT PAUL, MN 55105-2628
(651) 690-5352
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
114354-2
MN
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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