Individual
MAI KUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3931 LOUISIANA AVE S FL 4, ST LOUIS PARK, MN 55426-5000
(952) 831-8742
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11113
MN
363LF0000X
Family Nurse Practitioner
11113
MN
Other
Enumeration date
12/18/2023
Last updated
12/21/2023
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