Kenyon, Karin

Kenyon, Karin is an individual health care provider with primary practice located at 14700 28Th Ave N Ste 20 , Plymouth MN 55447-4876. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Kenyon, Karin can be contacted via phone (763) 559-3779.

Contact Information

Primary practice address
14700 28Th Ave N Ste 20 Plymouth MN 55447-4876
Phone: (763) 559-3779
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R 115003-0 Minnesota

Profile Details

NPI number 1821090564
LBN Legal business name Kenyon, Karin
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Oct 8th, 2018 - about 7 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 1821090564 NPPES
Minnesota Other 33A01LI BCBSMN
Minnesota MEDICAID 658717800 BCBSMN

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