Organization
PRIME FAMILY MEDICAL CLINIC
Active
Organization
PRIME FAMILY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY LEE KANG NP (CEO/NP)
(651) 219-8583
Entity
Organization
Contact information
Practice address
200 VILLAGE CENTER DR STE 800, NORTH OAKS, MN 55127-7092
(651) 219-8583
(651) 800-9859
Mailing address
200 VILLAGE CENTER DR STE 800, NORTH OAKS, MN 55127-7092
(651) 219-8583
(651) 800-9859
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/25/2020
Last updated
05/22/2024
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