Individual
MOIRA ELIZABETH KENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
636 GRAND AVE APT 208, SAINT PAUL, MN 55105-3414
(507) 250-2844
Mailing address
636 GRAND AVE APT 208, SAINT PAUL, MN 55105-3414
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2461696
MN
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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