Individual
KAYLEE K BOVARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4840 STARLITE LOOP UNIT E, HERMANTOWN, MN 55811-4110
(580) 491-0606
Mailing address
4840 STARLITE LOOP UNIT E, HERMANTOWN, MN 55811-4110
(580) 491-0606
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
821761
MN
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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