Individual
JESSICA J KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17438 GRACKLE RD., PARK RAPIDS, MN 56470
(218) 252-0651
Mailing address
17438 GRACKLE RD., PARK RAPIDS, MN 56470
(218) 252-0651
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
MN
374J00000X
Doula
Primary
—
MN
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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