| Healthy Miles Llc | |
|
4142 Shoreline Dr Spring Park MN 55384-9629 | |
| (866) 305-0622 | |
| Not Available |
| Full Name | Healthy Miles Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4142 Shoreline Dr, Spring Park, Minnesota |
| Authorized Official Name and Position | Damon Kenton (OWNER) |
| Authorized Official Contact | 6122429517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Miles Llc 4142 Shoreline Dr Spring Park MN 55384-9629 Ph: () - | Healthy Miles Llc 4142 Shoreline Dr Spring Park MN 55384-9629 Ph: (866) 305-0622 |
| NPI Number | 1831812239 |
|---|---|
| Provider Enumeration Date | 09/21/2022 |
| Last Update Date | 09/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831812239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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