Individual
KAITLYN HENKELMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8455 FLYING CLOUD DR, EDEN PRAIRIE, MN 55344-3974
(952) 993-7400
(952) 993-7431
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
59707
MN
Other
Enumeration date
04/24/2014
Last updated
03/09/2021
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