Individual
KITTY C. SKOOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4040 COON RAPIDS BLVD NW # 100, COON RAPIDS, MN 55433-2522
(763) 236-9500
Mailing address
4040 COON RAPIDS BLVD NW # 100, COON RAPIDS, MN 55433-2522
(763) 236-9500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R107290-1
MN
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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