Organization
DISTRICT NO 547
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT A BALDRY SPECIALIST (SUPERINTENDENT)
(218) 338-6011
Entity
Organization
Contact information
Practice address
411 S OTTER AVE, PARKERS PRAIRIE, MN 56361-4504
(218) 338-6011
Mailing address
411 S OTTER AVE, PARKERS PRAIRIE, MN 56361-4504
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
492488600
—
MN
Enumeration date
12/06/2006
Last updated
07/28/2008
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