Individual
NICK KINDSCHUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 W COLLEGE AVE, SAINT PETER, MN 56082-1485
(952) 232-9087
Mailing address
841 INTERLAKEN, VICTORIA, MN 55386-3703
(952) 232-9087
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
02/27/2020
Last updated
02/27/2020
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