Cody, Kristine Mary
Cody, Kristine Mary is an individual health care provider with primary practice located at 3305 Central Park Village Dr , Eagan MN 55121-7707. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cody, Kristine Mary can be contacted via phone (651) 406-8860.Contact Information
Primary practice address
3305 Central Park Village Dr
Eagan MN 55121-7707
Phone: (651) 406-8860
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5276 | Minnesota |
Profile Details
| NPI number | 1386160166 |
|---|---|
| LBN Legal business name | Cody, Kristine Mary |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2017 |
| Last updated | Jul 24th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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