Johnson, Kristin Hokanson
Johnson, Kristin Hokanson is an individual health care provider with primary practice located at 5111 Minnetonka Blvd , St Louis Park MN 55416-2201. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Johnson, Kristin Hokanson can be contacted via phone (952) 922-4300.Contact Information
Primary practice address
5111 Minnetonka Blvd
St Louis Park MN 55416-2201
Phone: (952) 922-4300
Fax: (952) 922-4301
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 54137 | Minnesota |
Profile Details
NPI number | 1295046472 |
---|---|
LBN Legal business name | Johnson, Kristin Hokanson |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 23rd, 2010 |
Last updated | Apr 23rd, 2014 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295046472 | NPPES |
Minnesota | MEDICAID | ENROLLED | |
Minnesota | MEDICAID | ENROLLED |
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