Individual
KIMBERLY R PENKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
301 2ND ST NE, NEW PRAGUE, MN 56071-1709
(952) 758-8161
(952) 758-1938
Mailing address
221 INVERNESS DRIVE, MANKATO, MN 56001
(507) 276-3839
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
060402447
MN
Other
Enumeration date
07/27/2006
Last updated
07/11/2013
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