Individual
KIM S CHRISTENSON
Active
Individual
KIM S CHRISTENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-296928
IL
363L00000X
Nurse Practitioner
209-010940
IL
363LA2200X
Adult Health Nurse Practitioner
Primary
5456
MN
Other
Enumeration date
07/25/2013
Last updated
01/24/2018
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