Individual
PROF. KISHA NAKEY TRIPLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
13787 HOLLY ST NW, ANDOVER, MN 55304-4162
(612) 859-4472
Mailing address
13787 HOLLY ST NW, ANDOVER, MN 55304-4162
(612) 859-4472
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
X9T7J7Y8
GA
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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