Berta Kvamme in St Louis Park - Diagnostic Radiology
Berta Kvamme - NPI 1255316816
Berta Kvamme is a Diagnostic Radiology in St Louis Park, Minnesota. Berta Kvamme practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Berta Kvamme is 1255316816. The last update date is 2013-04-02.
Berta Kvamme's current location address is 6490 Excelsior Blvd, St Louis Park, Minnesota. You can contact this provider via phone number 9529930349. The mailing address for Berta Kvamme is 6490 Excelsior Blvd, St Louis Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Berta Kvamme |
|---|---|
| Address | 6490 Excelsior Blvd, St Louis Park, Minnesota |
| Phone Number | 9529930349 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1255316816 |
|---|---|
| Provider Enumeration Date | 2005-12-07 |
| Last Updated Date | 2013-04-02 |
Provider Mailing Address Detail
| Address | 6490 Excelsior Blvd |
|---|---|
| City | St Louis Park |
| State | Minnesota (MN) |
| Post Code | 554264705 |
| Phone Number | 9529930349 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 31980 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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What is the unique identification code assigned to Berta Kvamme by the Centers for Medicare & Medicaid Services?
The Berta Kvamme has been issued the NPI (National Provider Identifier) 1255316816. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Berta Kvamme?
The Berta Kvamme is situated at 6490 Excelsior Blvd, in the city of St Louis Park, state of MN, with the zip code 554264705.
What is Berta Kvamme's specialized field of practice, and what is the corresponding taxonomy classification code?
The Berta Kvamme's area of specialization is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0202X.
On what date was the 1255316816 assigned to Berta Kvamme?
The Berta Kvamme was issued its 1255316816 on 2005-12-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Berta Kvamme most recently updated or revised?
The information pertaining to Berta Kvamme, including its address, specialty, and other relevant details, was last updated or revised on 2013-04-02.