Individual
JOAN CAROLYN KORNKVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 273-8383
Mailing address
690 CLEVELAND AVE S STE 100, SAINT PAUL, MN 55116-1319
(651) 493-8412
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
03/11/2022
Last updated
08/26/2024
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