Individual
KAYLAN RAE DIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
576 APOLLO DR, LINO LAKES, MN 55014-3004
(651) 486-2320
Mailing address
2831 SNELLING AVE N, ROSEVILLE, MN 55113-1712
(651) 765-5900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6746
MN
Other
Enumeration date
10/12/2019
Last updated
10/12/2019
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