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Individual

KIMBERLY A KINSELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, FNP-BC, DINPH

Contact information

Practice address
3400 W 66TH ST STE 150, EDINA, MN 55435-2109
(952) 920-7200
Mailing address
3400 W 66TH ST STE 150, EDINA, MN 55435-2109
(952) 920-7200

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2463598
MN
363L00000X
Nurse Practitioner
7624
MN
363LF0000X
Family Nurse Practitioner
Primary
7624
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1366900839
MN
Enumeration date
03/04/2019
Last updated
05/18/2022
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