Individual
KIMBERELY K SWAIN DE POP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
451 DUNLAP ST N, SAINT PAUL, MN 55104-4619
(651) 647-2200
(651) 647-2075
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42159
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
327506000
—
MN
Enumeration date
02/02/2006
Last updated
05/02/2024
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