Individual
JOHNCY JOHN KACHIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS, MPH
Contact information
Practice address
1555 NORTHWAY DR, SAINT CLOUD, MN 56303-4555
(320) 240-3157
Mailing address
425 BROADWAY AVE S APT 225, ROCHESTER, MN 55904-6970
(214) 564-8116
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34458
MN
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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