Individual
NISHA KAMPASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
973 SKYLINE DR SW, ROCHESTER, MN 55902-1220
(507) 424-1040
Mailing address
4865 HERITAGE HILLS WAY, VESTAVIA, AL 35242-2258
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14037
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43460
ASPEN AMERICAN INSURANCE COMPANY
—
Enumeration date
06/08/2018
Last updated
06/08/2018
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