Individual
MR. KERRY MERVIN SOINEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-1854
(612) 725-2227
Mailing address
172 6TH ST E, APT. #2504, SAINT PAUL, MN 55101-1993
(651) 230-9404
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
9446
MN
Other
Enumeration date
09/03/2006
Last updated
07/08/2007
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