Individual
BETHANY KAREN KENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP, WHNP-BC
Contact information
Practice address
910 E 26TH ST STE 200, MINNEAPOLIS, MN 55404
(612) 884-6300
Mailing address
3845 FLORIDA AVE N, CRYSTAL, MN 55427-1557
(612) 757-4650
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1912993
MN
363LW0102X
Women's Health Nurse Practitioner
Primary
6051
MN
Other
Enumeration date
07/27/2018
Last updated
08/03/2018
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