Individual
JOSHUA MICHAEL KENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
14700 28TH AVE N STE 20, PLYMOUTH, MN 55447-4876
(763) 852-0435
(763) 450-3986
Mailing address
PO BOX 47159, PLYMOUTH, MN 55447
(763) 852-0435
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
117853
MN
Other
Enumeration date
09/13/2017
Last updated
04/25/2025
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