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Individual

DR. KYLE WAYNE ABBEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3123
(952) 993-3286
Mailing address
8170 33RD AVE S # MS 21110Q, MINNEAPOLIS, MN 55425-4516
(952) 993-3123
(952) 993-3286

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
75
ND
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
952
MN
213ES0103X
Foot & Ankle Surgery Podiatrist
POD001251
GA

Other

Enumeration date
05/16/2011
Last updated
03/08/2021
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