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Individual

MS. KENDALL BIALLAS BAUMGARTNER

Active
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Individual

MS. KENDALL BIALLAS BAUMGARTNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-AC

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
3872
MN
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
3872
MN

Other

Enumeration date
12/13/2010
Last updated
07/09/2020
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