Imo I Kalla is a Family in Freeport, Minnesota. Imo I Kalla practices all healthcare services and medical treatments related to Family. The NPI Number for Imo I Kalla is 1548383664. The last update date is 2011-12-20.
Imo I Kalla's current location address is 8170 33rd Ave S, Freeport, Minnesota. You can contact this provider via phone number 9528835375 and fax number 3202032113. The mailing address for Imo I Kalla is 8170 33rd Ave S, Freeport, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Imo I Kalla |
|---|---|
| Address | 8170 33rd Ave S, Freeport, Minnesota |
| Phone Number | 9528835375 |
| Fax Number | 3202032113 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1548383664 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2011-12-20 |
Provider Mailing Address Detail
| Address | 8170 33rd Ave S |
|---|---|
| City | Freeport |
| State | Minnesota (MN) |
| Post Code | 554254516 |
| Phone Number | 9528835375 |
| Fax Number | 3202032113 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R118728-1 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 177515400 | MN | -- |
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What is the unique 10-digit identification code assigned to Imo I Kalla by the Centers for Medicare & Medicaid Services?
The Imo I Kalla has been issued the NPI (National Provider Identifier) 1548383664, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Imo I Kalla located?
The Imo I Kalla is located at 8170 33Rd Ave S, Freeport, MN 554254516.
What is the Imo I Kalla's specialty and taxonomy code?
The Imo I Kalla's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
On what date was the 1548383664 assigned to Imo I Kalla?
The Imo I Kalla was issued its 1548383664 on 2007-04-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Imo I Kalla, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Imo I Kalla, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-12-20.