Stakston, Kimberly A

Stakston, Kimberly A is an individual health care provider with primary practice located at 8100 W 78Th St Suite 225, Edina MN 55439-2516. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Stakston, Kimberly A can be contacted via phone (952) 946-9777.

Contact Information

Primary practice address
8100 W 78Th St Suite 225 Edina MN 55439-2516
Phone: (952) 946-9777
Fax: (952) 946-9888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 1767 Minnesota

Profile Details

NPI number 1346275070
LBN Legal business name Stakston, Kimberly A
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Oct 28th, 2011 - about 13 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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