Individual
DAVIDE KEKEOCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 2ND AVE S STE 400, MINNEAPOLIS, MN 55402-4010
(612) 225-1538
Mailing address
920 2ND AVE S STE 400, MINNEAPOLIS, MN 55402-4010
(612) 225-1538
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05543
TX
Other
Enumeration date
10/28/2008
Last updated
02/25/2009
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