Individual
RALPH KIFFMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1013 HART BLVD, MONTICELLO, MN 55362-8575
(763) 295-2495
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0590549
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
325742800
—
MN
01
—
46741KI
BLUE CROSS OF MN
MN
Enumeration date
02/08/2006
Last updated
04/28/2008
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