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Organization

KINGSLEY CLINIC OF MINNESOTA, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES KINGSLEY MD (OWNER)
(612) 453-1907
Entity
Organization

Contact information

Practice address
333 WASHINGTON AVE N STE 300, MINNEAPOLIS, MN 55401-1353
(612) 453-1907
(612) 500-4916
Mailing address
333 WASHINGTON AVE N STE 300, MINNEAPOLIS, MN 55401-1353
(612) 453-1907
(612) 500-4916

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
261QP2300X
Primary Care Clinic/Center

Other

Enumeration date
10/15/2020
Last updated
04/26/2023
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