Individual
IGOR KHENKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
13972 52ND AVE N, PLYMOUTH, MN 55446-1631
(917) 402-8768
Mailing address
13972 52ND AVE N, PLYMOUTH, MN 55446-1631
(917) 402-8768
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3224
MN
Other
Enumeration date
09/10/2025
Last updated
11/25/2025
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