Individual
KAVITHA MALANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15700 37TH AVE N STE 300, PLYMOUTH, MN 55446-3661
(612) 871-1145
Mailing address
3001 BROADWAY ST NE STE 500, MINNEAPOLIS, MN 55413-2197
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7224
MN
Other
Enumeration date
02/21/2020
Last updated
08/12/2021
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