Individual
KIMBERLY JEAN BAKALYAR DEMARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4225 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55422-4215
(763) 302-4102
(763) 302-4050
Mailing address
4225 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55422-4215
(763) 302-4102
(763) 302-4050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7150
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048L3BA
BCBS OF MN
MN
01
—
1771642
AMERICAS PPO
MN
01
—
6403770
MEDICA
MN
01
—
962871010735
PREFERRED ONE
MN
01
—
HP44374
HEALTHPARTNERS
MN
Enumeration date
07/22/2006
Last updated
11/30/2011
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