Individual
KAYLYNN KENUTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 874-1292
Mailing address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
207952-1
MN
363LF0000X
Family Nurse Practitioner
Primary
F1216164
MN
Other
Enumeration date
12/18/2016
Last updated
02/17/2023
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