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Individual

KOREN L KAYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
640 JACKSON STREET, MC11102F, ST PAUL, MN 55101-2502
(651) 254-3456
(651) 254-5216
Mailing address
8100 34TH AVE S, MC21110Q, BLOOMINGTON, MN 55425-1672
(952) 883-7172
(952) 883-5395

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
33099
MN
207P00000X
Emergency Medicine Physician
37102
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
969823000
MN
Enumeration date
04/26/2006
Last updated
03/18/2015
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