Organization
KIM'S KORNER LLC
Active
Other names
KIM'S KORNER LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KIM RICHARDSON EXECUTIVE DIRECTOR (MANAGER)
(651) 503-6573
Entity
Organization
Contact information
Practice address
1145 HUDSON RD APT 228, SAINT PAUL, MN 55106-4326
(651) 503-6573
Mailing address
1145 HUDSON RD, SUITE #228, SAINT PAUL, MN 55106-4326
(651) 503-6573
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
12/10/2024
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