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MAMMARIE KAH

Individual Provider (NPI-1) Active

Nurse Practitioner

Provider Information

NPI Number
1588019228
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
1406 6TH AVE N, SAINT CLOUD, MN, 563031900
Phone
(320) 251-2700

Specialties & Taxonomies

Nurse Practitioner, Adult Health License: MN #4497
Nurse Practitioner, Gerontology License: MN #4497
Nurse Practitioner Primary License: MN #4497

All Addresses

LOCATION

1406 6TH AVE N

SAINT CLOUD, MN, 563031900

(320) 251-2700

MAILING

1200 6TH AVE N

ST. CLOUD, MN, 56303

(320) 240-2206