Individual
ANDREW S KINGBIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHW, CASE MANAGER
Contact information
Practice address
PO BOX 280, RED LAKE, MN 56671-0280
(218) 679-3171
(218) 679-3451
Mailing address
PO BOX 280, RED LAKE, MN 56671-0280
(218) 679-3171
(218) 679-3451
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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