Kodalen, Kent
Kodalen, Kent is an sole proprietor health care provider with primary practice located at 2525 Chicago Ave Mail Stop 17-217, Minneapolis MN 55404-4518. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Kodalen, Kent can be contacted via phone (612) 813-7042.Contact Information
Primary practice address
2525 Chicago Ave Mail Stop 17-217
Minneapolis MN 55404-4518
Phone: (612) 813-7042
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 5742 | Minnesota |
Profile Details
| NPI number | 1881006880 |
|---|---|
| LBN Legal business name | Kodalen, Kent |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2014 |
| Last updated | May 24th, 2014 - about 11 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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