Individual
KYLE E KINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1455 SAINT FRANCIS AVE, SHAKOPEE, MN 55379-3374
(952) 403-3000
Mailing address
PO BOX 46100, PLYMOUTH, MN 55446-0100
(763) 553-9920
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
48376
MN
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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