Individual
KASEY C SUCKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 594-2653
Mailing address
PO BOX 904, LAKE CRYSTAL, MN 56055-0904
(651) 380-6590
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8568
MN
Other
Enumeration date
06/21/2021
Last updated
10/04/2021
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