Individual
KYAH BENGTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
Mailing address
2407 COUNTY ROAD 74 APT 308, SAINT CLOUD, MN 56301-7410
(320) 252-1670
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
826193
MN
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
04/14/2026
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