Gustafson, Kimberly Lynn
Gustafson, Kimberly Lynn is an individual health care provider with primary practice located at 4010 W 65Th St , Edina MN 55435-1706. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Gustafson, Kimberly Lynn can be contacted via phone (952) 456-7000.Contact Information
Primary practice address
4010 W 65Th St
Edina MN 55435-1706
Phone: (952) 456-7000
Fax: (952) 456-7001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | 104692 | Minnesota |
Profile Details
| NPI number | 1154722346 |
|---|---|
| LBN Legal business name | Gustafson, Kimberly Lynn |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2014 |
| Last updated | Feb 12th, 2024 - about 10 months 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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