Organization
KAVIRA HEALTH URGENT CARE LLC
Active
Other names
Kavira Health
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA NICOLE CHRISTY RN (CLINICAL DIRECTOR)
(612) 702-5420
Entity
Organization
Contact information
Practice address
8530 W 35TH ST, ST LOUIS PARK, MN 55426-3853
(612) 702-5420
Mailing address
1161 WAYZATA BLVD E # 162, WAYZATA, MN 55391-1935
(612) 702-5420
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396272159
INDIVIDUAL NPI
MN
01
—
1598173577
INDIVIDUAL NPI
MN
Enumeration date
04/27/2021
Last updated
04/27/2021
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