Individual
MS. KAISA L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
6490 EXCELSIOR BLVD, STE E111, ST LOUIS PARK, MN 55426-4705
(952) 993-5029
Mailing address
6465 WAYZATA BLVD, STE 315, ST LOUIS PARK, MN 55426-1728
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
R149903-4
MN
Other
Enumeration date
12/02/2005
Last updated
11/17/2014
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