Killeen Prater, is a
Licensed Practical Nurse based in Edina, Minnesota. Killeen Prater is licensed to practice in Minnesota (license number 825308) and her current practice location is
4510 77th St W, Edina, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(952) 826-8475.
NPI number for Killeen Prater is 1831934611 and her current mailing address is 405 15th Ave Se, Minneapolis, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831934611.
Provider's Profile
| Full Name | Killeen Prater |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 4510 77th St W, Edina, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1831934611
- Provider Enumeration Date: 06/25/2024
- Last Update Date: 06/25/2024
Medical Identifiers
Medical identifiers for Killeen Prater such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831934611 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 825308 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Killeen Prater is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Killeen Prater,
405 15th Ave Se,
Minneapolis, MN 55414-2011
Ph: () - | Killeen Prater,
4510 77th St W,
Edina, MN 55435-5505
Ph: (952) 826-8475 |
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