Kaye, Koren L

Kaye, Koren L is an individual health care provider with primary practice located at 640 Jackson Street Mc11102F, St Paul MN 55101-2502. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Kaye, Koren L can be contacted via phone (651) 254-3456.

Contact Information

Primary practice address
640 Jackson Street Mc11102F St Paul MN 55101-2502
Phone: (651) 254-3456
Fax: (651) 254-5216
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 33099 Minnesota
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 37102 Wisconsin

Profile Details

NPI number 1760449508
LBN Legal business name Kaye, Koren L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Mar 18th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760449508 NPPES
Minnesota MEDICAID 969823000

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