| Kristin S. Kildahl, Ma, Lp, Llc | |
|
7200 France Ave S Edina MN 55435-4300 | |
| (612) 272-5107 | |
| (651) 730-6657 |
| Full Name | Kristin S. Kildahl, Ma, Lp, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 7200 France Ave S, Edina, Minnesota |
| Authorized Official Name and Position | Kristin Skoog Kildahl (PSYCHOLOGIST) |
| Authorized Official Contact | 6122725107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin S. Kildahl, Ma, Lp, Llc 9923 Brookside Cir Bloomington MN 55431-2826 Ph: (612) 272-5107 | Kristin S. Kildahl, Ma, Lp, Llc 7200 France Ave S Edina MN 55435-4300 Ph: (612) 272-5107 |
| NPI Number | 1669796058 |
|---|---|
| Provider Enumeration Date | 03/15/2010 |
| Last Update Date | 03/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669796058 | NPI | - | NPPES |
| 1578643730 | Other | MN | TYPE 1 NPI # |
| 1578643730 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP1384 (Minnesota) | Primary |
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