Individual
TARA LYNN KALETKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6401 FRANCE AVE S, EDINA, MN 55435-2199
(952) 924-8341
Mailing address
8740 ALDRICH AVE S, BLOOMINGTON, MN 55420-2720
(952) 240-8261
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2298
MN
Other
Enumeration date
10/30/2018
Last updated
01/16/2019
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