| Kris Koestner Llc | |
|
6607 18th Ave S Richfield MN 55423-2784 | |
| (612) 798-7373 | |
| Not Available |
| Full Name | Kris Koestner Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6607 18th Ave S, Richfield, Minnesota |
| Authorized Official Name and Position | Kris Koestner (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6127987373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kris Koestner Llc 6607 18th Ave S Richfield MN 55423-2784 Ph: (612) 798-7373 | Kris Koestner Llc 6607 18th Ave S Richfield MN 55423-2784 Ph: (612) 798-7373 |
| NPI Number | 1992090260 |
|---|---|
| Provider Enumeration Date | 06/15/2011 |
| Last Update Date | 06/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992090260 | NPI | - | NPPES |
| 800002288 | Other | MN | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 08765 (Minnesota) | Primary |
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