Individual
MRS. KIMBERLY ROSE RUNNELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 923-6205
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
952312
MN
163W00000X
Registered Nurse
2489796
MN
163WF0300X
Flight Registered Nurse
7061619
MN
363L00000X
Nurse Practitioner
Primary
13078
MN
Other
Enumeration date
02/24/2025
Last updated
09/10/2025
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