Individual
LORRI ANN KENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3123
(952) 993-3286
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP2815
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2011019548
MN
Other
Enumeration date
12/03/2013
Last updated
08/04/2023
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