Individual
KRISTEN L KEMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2525 CHICAGO AVENUE SOUTH, CHILDRENS SPECIALTY CLINIC CLEFT AND CRANIOFACIAL, MINNEAPOLIS, MN 55404
(612) 813-6777
(612) 813-6953
Mailing address
2910 CENTRE POINTS DRIVE, 35 121A, ROSEVILLE, MN 55113
(651) 855-2109
(651) 855-2310
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R1379772
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507469000
—
MN
Enumeration date
03/30/2006
Last updated
11/15/2012
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