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Individual

KARI HOPE KJERGAARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
6515 BARRIE RD STE 100, EDINA, MN 55435-2364
(952) 922-1384
Mailing address
6515 BARRIE RD STE 100, EDINA, MN 55435-2364
(952) 922-5019

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0005261
CO
225X00000X
Occupational Therapist
Primary
105715
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050420579
DRIVER'S LICENSE
CO
Enumeration date
11/27/2018
Last updated
11/01/2019
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