Individual
KIM MARIE KEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
742 1ST ST S STE 105, WAITE PARK, MN 56387-1315
(320) 240-6869
(320) 251-0358
Mailing address
742 1ST ST S STE 105, WAITE PARK, MN 56387-1315
(320) 240-6869
(320) 251-0358
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0399863
MN
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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