Individual
KIM CHURNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 PARK AVE, 07 ORANGE 7, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Mailing address
701 PARK AVE, 07 ORANGE 7, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
110786
TX
235Z00000X
Speech-Language Pathologist
Primary
9564
MN
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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