Individual
DAVID LAFOND KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1544 SHELDON ST, SAINT PAUL, MN 55108-2331
(651) 646-3091
(651) 646-3124
Mailing address
12358 CHESHOLM LN, EDEN PRAIRIE, MN 55347-4665
(952) 947-9968
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R 120884-3
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
047201
MN
Other
Enumeration date
05/10/2006
Last updated
09/11/2025
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