Individual
LOIS J KEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2550 UNIVERSITY AVE W, SUITE 189S, SAINT PAUL, MN 55114-1052
(651) 332-7474
(651) 332-7475
Mailing address
2550 UNIVERSITY AVE W, SUITE 189S, SAINT PAUL, MN 55114-1052
(651) 332-7474
(651) 332-7475
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10160
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011992
PREFERRED ONE
MN
01
—
24A16KE
BLUE CROSS
MN
05
—
296025700
—
MN
01
—
43-41300
MEDICA
MN
Enumeration date
09/28/2006
Last updated
10/02/2019
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