Organization
KINDRED HEALTH, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE MARY CARLSON-SHIMON FNP-BC (PRESIDENT)
(651) 491-4354
Entity
Organization
Contact information
Practice address
6565 FRANCE AVE S STE 350, EDINA, MN 55435-2159
(952) 999-4049
Mailing address
6565 FRANCE AVE S STE 350, EDINA, MN 55435-2159
(952) 999-4049
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952731986
NPI
MN
Enumeration date
05/28/2019
Last updated
05/28/2019
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