Kemerling-Theobald, Korena Marie Katherine

Kemerling-Theobald, Korena Marie Katherine is an individual health care provider with primary practice located at 2450 Riverside Ave , Minneapolis MN 55454-1450. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Kemerling-Theobald, Korena Marie Katherine can be contacted via phone (612) 365-6777.

Contact Information

Primary practice address
2450 Riverside Ave Minneapolis MN 55454-1450
Phone: (612) 365-6777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 6956 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 11387 Wisconsin

Profile Details

NPI number 1063069284
LBN Legal business name Kemerling-Theobald, Korena Marie Katherine
Credentials NNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2019
Last updated Nov 17th, 2021 - about 3 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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