Individual
JOHANNA KINSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15704 90TH ST NE # 100, OTSEGO, MN 55330-7448
(763) 241-1090
Mailing address
2308 S FORD AVE, BLOOMINGTON, IN 47403-3321
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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