Individual
MRS. ALLYSON PERKINS KIMBRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
800 E 28TH ST, ABBOTT NORTHWESTERN, MINNEAPOLIS, MN 55407
(612) 863-4000
Mailing address
5320 CHATEAU PLACE, MINNEAPOLIS, MN 55417
(612) 728-1045
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R1359365
MN
367500000X
Certified Registered Nurse Anesthetist
40758
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8053656
—
NC
05
—
NAN915
—
SC
Enumeration date
03/20/2006
Last updated
01/20/2010
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