Koehnen, Kelly K
Koehnen, Kelly K is an individual health care provider with primary practice located at 1406 W Lake St Ste 100, Minneapolis MN 55408-2653. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Koehnen, Kelly K can be contacted via phone (612) 827-3736.Contact Information
Primary practice address
1406 W Lake St Ste 100
Minneapolis MN 55408-2653
Phone: (612) 827-3736
Fax: (612) 821-9626
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 10985 | Minnesota |
Profile Details
| NPI number | 1285639815 |
|---|---|
| LBN Legal business name | Koehnen, Kelly K |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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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