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Individual

KRISTI K PICKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN,MS,CNS

Contact information

Practice address
2100 COUNTY ROAD 42 WEST., CASHMAN CENTER, BURNSVILLE, MN 55337
(952) 224-8990
(952) 224-8991
Mailing address
2100 COUNTY ROAD 42 WEST., CASHMAN CENTER, BURNSVILLE, MN 55337
(952) 224-8990
(952) 224-8991

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
R1299894
MN
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
R-129989-4
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
506814200
MN
Enumeration date
10/18/2006
Last updated
11/08/2016
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