Individual
MR. KEVIN WILLIAM ROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27040 COUNTY ROAD 9, BEMIDJI, MN 56601-5456
(218) 751-6405
Mailing address
14372 RIVERBEND TRL, THIEF RIVER FALLS, MN 56701-8433
(218) 681-1046
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R1047318
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
R104731-8
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
327342300
—
MN
Enumeration date
05/25/2006
Last updated
04/11/2014
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