Individual
KENYATA MCCAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3330 W 66TH ST, EDINA, MN 55435-5207
(612) 358-1456
Mailing address
100 S 1ST ST, MINNEAPOLIS, MN 55401-2037
(612) 354-1456
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MN
376J00000X
Homemaker
—
MN
376K00000X
Nurse's Aide
—
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
MN
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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