Individual
KYLEEN WATERHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN, LSN
Contact information
Practice address
5621 COUNTY ROAD 101, MINNETONKA, MN 55345-4214
(952) 283-8223
(952) 401-4014
Mailing address
5621 COUNTY ROAD 101, MINNETONKA, MN 55345-4214
(952) 283-8223
(952) 401-4014
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R-2433442
MN
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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