Individual
DR. AMY CHRISTINE KERANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4050 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2522
(651) 635-9173
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
Primary
51732
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376745810
—
MN
Enumeration date
06/05/2007
Last updated
09/28/2021
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