Molly Sue Kmieciak, LPN is a
Licensed Practical Nurse based in Fridley, Minnesota. Molly Sue Kmieciak is licensed to practice in Minnesota (license number 774349) and her current practice location is
5981 Main St Ne Uppr Apt, Fridley, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 707-4216.
NPI number for Molly Sue Kmieciak is 1750034633 and her current mailing address is 3401 E Medicine Lake Blvd Ofc 114, Plymouth, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750034633.
Provider's Profile
Full Name | Molly Sue Kmieciak |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 5981 Main St Ne Uppr Apt, Fridley, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1750034633
- Provider Enumeration Date: 01/31/2022
- Last Update Date: 01/31/2022
Medical Identifiers
Medical identifiers for Molly Sue Kmieciak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750034633 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 774349 (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. Molly Sue Kmieciak 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 |
Molly Sue Kmieciak, LPN 3401 E Medicine Lake Blvd Ofc 114, Plymouth, MN 55441-2307 Ph: (763) 231-5939 | Molly Sue Kmieciak, LPN 5981 Main St Ne Uppr Apt, Fridley, MN 55432-5442 Ph: (612) 707-4216 |
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