Jennifer Debra Kish in Medina - Gerontology
Jennifer Debra Kish - NPI 1932372224
Jennifer Debra Kish is a Gerontology in Medina, Minnesota. Jennifer Debra Kish practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Jennifer Debra Kish is 1932372224. The last update date is 2021-08-28.
Jennifer Debra Kish's current location address is 1157 Jubert Trl, Medina, Minnesota. You can contact this provider via phone number 9524127019. The mailing address for Jennifer Debra Kish is 1157 Jubert Trl, Medina, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Debra Kish |
|---|---|
| Address | 1157 Jubert Trl, Medina, Minnesota |
| Phone Number | 9524127019 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | GNP |
NPI Number Detail
| NPI Number | 1932372224 |
|---|---|
| Provider Enumeration Date | 2008-04-08 |
| Last Updated Date | 2021-08-28 |
Provider Mailing Address Detail
| Address | 1157 Jubert Trl |
|---|---|
| City | Medina |
| State | Minnesota (MN) |
| Post Code | 553403707 |
| Phone Number | 9524127019 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Gerontology |
|---|---|
| Taxonomy | 363Lg0600X |
| Licence No | R1722659 |
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Definition: An advanced practice registered nurse expert in providing care to older adult patients. |
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What is the Jennifer Debra Kish's unique identification number?
The Jennifer Debra Kish has been assigned the NPI (National Provider Identifier) Number 1932372224 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Jennifer Debra Kish is physically located?
The Jennifer Debra Kish is physically situated at the following address: 1157 Jubert Trl, Medina, MN, 553403707.
What is Jennifer Debra Kish's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jennifer Debra Kish's area of specialization is Gerontology, and the corresponding taxonomy code that categorizes this field of practice is 363Lg0600X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1932372224 to Jennifer Debra Kish?
The Centers for Medicare & Medicaid Services originally issued the 1932372224 to Jennifer Debra Kish on 2008-04-08.
As of what date were the Jennifer Debra Kish's details last updated?
The information pertaining to the Jennifer Debra Kish, including its address, specialty, and other details, was most recently updated on 2021-08-28.
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