Individual
DR. KEVIN E AMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
3632 10TH LN NW, ROCHESTER, MN 55901-6917
(507) 281-5000
(507) 281-5001
Mailing address
605 HILLCREST AVE, SUITE 130, OWATONNA, MN 55060-3680
(507) 451-0290
(507) 451-0291
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D8238
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011095
DORAL
MN
01
—
1008932
PREFERRED ONE
MN
01
—
117898
UCARE
MN
01
—
35012AM
BCBS
MN
Enumeration date
06/29/2006
Last updated
07/08/2007
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