Individual
ANNA KINNEBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1583 HIGHWAY 10 W, DETROIT LAKES, MN 56501-2232
(218) 847-7225
Mailing address
1496 68TH AVE SOUTH, FARGO, ND 58104
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
121338
MN
Other
Enumeration date
10/13/2020
Last updated
01/11/2024
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