Flannery, Amanda Beth Kack

Flannery, Amanda Beth Kack is an individual health care provider with primary practice located at 12200 Middle Set Rd Ste 100 , Eden Prairie MN 55344-5420. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Flannery, Amanda Beth Kack can be contacted via phone (952) 943-8200.

Contact Information

Primary practice address
12200 Middle Set Rd Ste 100 Eden Prairie MN 55344-5420
Phone: (952) 943-8200
Fax: (952) 943-8206
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 20111927 Minnesota

Profile Details

NPI number 1902182496
LBN Legal business name Flannery, Amanda Beth Kack
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2011
Last updated Oct 27th, 2011 - about 14 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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