Ms Vida S Kent, CNM | |
6490 Excelsior Blvd, Ste E111, St Louis Park, MN 55426-4705 | |
(952) 993-5029 | |
Not Available |
Full Name | Ms Vida S Kent |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 6490 Excelsior Blvd, St Louis Park, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790769461 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | R115246-5 (Minnesota) | Primary |
Entity Name | Park Nicollet Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Mailing Address | Practice Location Address |
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Ms Vida S Kent, CNM 6465 Wayzata Blvd, Ste 315, St Louis Park, MN 55426-1728 Ph: () - | Ms Vida S Kent, CNM 6490 Excelsior Blvd, Ste E111, St Louis Park, MN 55426-4705 Ph: (952) 993-5029 |
Katelyn Neufeld, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-3282 | |
Sarah Hallman, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-3282 | |
Karen Margaret Sonnenburg, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-933-3282 | |
Brianna Jean Conklin, Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-3282 | |
Ms. Amy F Brandl, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6500 Excelsior Blvd, Hvc- 5th Floor, St Louis Park, MN 55426 Phone: 952-993-3282 Fax: 952-993-1361 | |
Diane Feller, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-3282 | |
Jennifer Nicole Sherry Hansen, DNP, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-3282 |