Individual
MISS KRISTEN LYNN MCCONNELL I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1757 158TH AVE NW, ANDOVER, MN 55304-2796
(763) 257-5724
Mailing address
15709 HEYWOOD CT, APPLE VALLEY, MN 55124-7150
(952) 200-1232
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
610461
MN
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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