Individual
KAITLEN IRENE BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1032 GRAND AVE, SAINT PAUL, MN 55105-3064
(651) 227-6865
Mailing address
1053 FAIRMOUNT AVE, SAINT PAUL, MN 55105-3123
(651) 206-8005
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1790
MN
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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