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Individual

MS. KAY IKEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-6480
(320) 255-6430
Mailing address
31552 COUNTY ROAD 133, SAINT JOSEPH, MN 56374-9547
(320) 203-7029

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2004000372
MN

Other

Enumeration date
08/10/2006
Last updated
07/08/2007
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