Individual
DR. STEPHANIE A KIVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
202 1ST ST S, MONTGOMERY MEDICAL, MONTGOMERY, MN 56069-1602
(507) 364-5600
(507) 364-5686
Mailing address
301 2ND ST NE, SUITE 1, NEW PRAGUE, MN 56071-1709
(952) 758-4431
(952) 758-5011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38537
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160017600
—
MN
Enumeration date
05/23/2006
Last updated
01/11/2021
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