Individual
MAI KER LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2700 E 28TH ST, SUITE 170, MINNEAPOLIS, MN 55406-2990
(612) 872-1950
Mailing address
2700 E 28TH ST, SUITE 170, MINNEAPOLIS, MN 55406-2990
(612) 872-1950
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
190747-4
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902070584
—
MN
Enumeration date
10/07/2009
Last updated
02/21/2011
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