Individual
ESTHER OFORIWA KINSELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3799
Mailing address
2960 123RD CIR NE, BLAINE, MN 55449-5878
(763) 300-0614
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10592
MN
363AM0700X
Medical Physician Assistant
10592
MN
363AS0400X
Surgical Physician Assistant
10592
MN
Other
Enumeration date
08/06/2009
Last updated
09/18/2009
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