Organization
KAVIRA HEALTH URGENT CARE LLC
Active
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
Update your record
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