Individual
SUSAN M KINNEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
5625 CENEX DR, INVER GROVE HEIGHTS, MN 55077-1724
(651) 552-2600
(651) 552-2614
Mailing address
8170 33RD AVE S, MAIL STOP 21110Q, BLOOMINGTON, MN 55425-4516
(651) 552-2600
(651) 552-2614
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1334241
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
584817200
—
MN
Enumeration date
02/14/2006
Last updated
07/20/2016
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