Individual
COURTNEY KIESOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
525 PORTLAND AVE, MINNEAPOLIS, MN 55415-1533
(612) 543-5555
(612) 596-7900
Mailing address
525 PORTLAND AVE, MINNEAPOLIS, MN 55415-1533
(612) 596-7005
(612) 766-2522
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
CNP4185
MN
363LW0102X
Women's Health Nurse Practitioner
Primary
CNP4185
MN
Other
Enumeration date
09/10/2015
Last updated
10/22/2024
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