Individual
KELSI SARBACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3456
Mailing address
640 JACKSON ST, SAINT PAUL, MN 55101-2595
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
2356723
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
2752
MN
Other
Enumeration date
08/12/2022
Last updated
01/10/2023
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