Organization
HEADACHE HOUSE CALL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE KINGSLEY MD (MEDICAL DIRECTOR)
(612) 205-6675
Entity
Organization
Contact information
Practice address
4920 DREW AVE S, MINNEAPOLIS, MN 55410-1742
(612) 205-6675
Mailing address
4920 DREW AVE S, MINNEAPOLIS, MN 55410-1742
(612) 205-6675
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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