Thielen, Kimberlee Ann

Thielen, Kimberlee Ann is an individual health care provider with primary practice located at 6601 Lyndale Ave S Suite 220, Richfield MN 55423-2477. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Thielen, Kimberlee Ann can be contacted via phone (612) 823-8001.

Contact Information

Primary practice address
6601 Lyndale Ave S Suite 220 Richfield MN 55423-2477
Phone: (612) 823-8001
Fax: (612) 823-1010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 34968 Minnesota

Profile Details

NPI number 1356362164
LBN Legal business name Thielen, Kimberlee Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Oct 15th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356362164 NPPES
Minnesota Other 3113111 MEDICA
Minnesota MEDICAID 490793100 MEDICA
Minnesota Other 110130174 MEDICA
Minnesota Other HP20119 MEDICA
Minnesota Other IM1772 MEDICA
Minnesota Other 110385C028 MEDICA
Minnesota MEDICAID 32534000 MEDICA
Minnesota Other 01T58TH MEDICA
Minnesota Other 1011156 MEDICA

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