Swain De Pop, Kimberely K

Swain De Pop, Kimberely K is an individual health care provider with primary practice located at 451 Dunlap St N , Saint Paul MN 55104-4619. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Swain De Pop, Kimberely K can be contacted via phone (651) 647-2200.

Contact Information

Primary practice address
451 Dunlap St N Saint Paul MN 55104-4619
Fax: (651) 647-2075
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 42159 Minnesota

Profile Details

NPI number 1972575074
LBN Legal business name Swain De Pop, Kimberely K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated May 2nd, 2024 - about last year

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 1972575074 NPPES
Minnesota MEDICAID 327506000

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