| Kaitlyn Pscodna Llc | |
|
703 Central Ave Ne Apt 610 Minneapolis MN 55414-7595 | |
| (612) 405-4251 | |
| Not Available |
| Full Name | Kaitlyn Pscodna Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 703 Central Ave Ne Apt 610, Minneapolis, Minnesota |
| Authorized Official Name and Position | Kaitlyn Pscodna (OWNER) |
| Authorized Official Contact | 6124054251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaitlyn Pscodna Llc 703 Central Ave Ne Apt 610 Minneapolis MN 55414-7595 Ph: (419) 789-6371 | Kaitlyn Pscodna Llc 703 Central Ave Ne Apt 610 Minneapolis MN 55414-7595 Ph: (612) 405-4251 |
| NPI Number | 1447025622 |
|---|---|
| Provider Enumeration Date | 11/17/2023 |
| Last Update Date | 11/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447025622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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