Organization
SENIORS CARE SERVICES LLC
Active
Other names
Tonka Medical Association, LLC, Population Health Management, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAMON R KENTON PHD (CEO)
(612) 242-9517
Entity
Organization
Contact information
Practice address
4142 SHORELINE DR, SPRING PARK, MN 55384-9629
(800) 753-9972
Mailing address
4008 SHORELINE DR, SPRING PARK, MN 55384-9656
(612) 242-9517
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/05/2014
Last updated
01/28/2021
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