Individual
KYLE MATTHEW MOMSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
800 W COLLEGE AVE, SAINT PETER, MN 56082-1485
(507) 933-6062
Mailing address
401 N 3RD ST, SAINT PETER, MN 56082-1954
(507) 933-6062
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1887
MN
Other
Enumeration date
05/08/2006
Last updated
07/22/2013
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