Individual
KIMBERLY A KINSELLA
Active
Individual
KIMBERLY A KINSELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC, DINPH
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
Update your record
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