Individual
KEVEON K KINGBIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHW
Contact information
Practice address
15855 MAIN AVE, RED LAKE, MN 56671-0280
(218) 679-3228
Mailing address
403 4TH ST NW STE 120, BEMIDJI, MN 56601-3155
(218) 444-2718
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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