Individual
KAREN MARIE KINNEBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17295 67TH ST SE, WAHPETON, ND 58075-9647
(701) 553-9222
Mailing address
17295 67TH ST SE, WAHPETON, ND 58075-9647
(701) 553-9222
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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