Individual
KIRSTIN ANN BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BAN, RN, PHN
Contact information
Practice address
671 VANDALIA ST, SAINT PAUL, MN 55114-1312
(651) 698-2406
Mailing address
624 THOREAU DR, BURNSVILLE, MN 55337-3650
(507) 301-4231
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2459165
MN
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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