Individual
KAMAL KADIR KABETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1508 MARYLAND AVE E, SAINT PAUL, MN 55106-2803
(763) 218-8700
Mailing address
1508 MARYLAND AVE E, SAINT PAUL, MN 55106-2803
(763) 218-8700
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1103105
MN
374U00000X
Home Health Aide
—
—
Other
Enumeration date
11/09/2020
Last updated
02/13/2021
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