Individual
KIRSI ELIZABETH KEENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 WASHINGTON AVE SE STE 200, MINNEAPOLIS, MN 55414-2924
(612) 884-0851
Mailing address
24990 96TH ST NW, ZIMMERMAN, MN 55398-9547
(612) 239-9634
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10916
MN
Other
Enumeration date
10/23/2023
Last updated
12/04/2023
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