Individual
MS. REBECCA LEIGH KAEHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2945 HAZELWOOD ST, MAPLEWOOD, MN 55109-1241
(651) 232-7800
(651) 232-7940
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1004025A
IN
363LF0000X
Family Nurse Practitioner
Primary
3749
MN
363LF0000X
Family Nurse Practitioner
71004025A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201066340
—
IN
Enumeration date
05/08/2012
Last updated
10/31/2024
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