Kjos, Gregory H

Kjos, Gregory H is an individual health care provider with primary practice located at 2509 Cherrywood Rd , Minnetonka MN 55305-2318. He recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Chore Provider, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Kjos, Gregory H can be contacted via phone (952) 546-0595.

Contact Information

Primary practice address
2509 Cherrywood Rd Minnetonka MN 55305-2318
Phone: (952) 546-0595
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Chore Provider 372500000X 039732 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 100929 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R45935 North Dakota

Profile Details

NPI number 1134188592
LBN Legal business name Kjos, Gregory H
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated May 15th, 2018 - about 6 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 1134188592 NPPES
North Carolina MEDICAID 8052896

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