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MS. KENDALL BIALLAS BAUMGARTNER CPNP-AC

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Pediatrics, Critical Care

Provider NPI: 1215230354

Provider Information:
MS. KENDALL BIALLAS BAUMGARTNER CPNP-AC
Gender: F
Sole Proprietor

Practice Location:
2525 CHICAGO AVE  MINNEAPOLIS, MN 55404-4518 US
Tel: 651-336-4773  Fax: --

Business Mailing Address:
7438 OLSON MEMORIAL HWY  GOLDEN VALLEY, MN 55427-4836 US
Tel: 952-239-8591  Fax: --

NPI Information:
NPI: 1215230354
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LP0222XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Pediatrics, Critical Care
TX793487
Y363LP0200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
MN3872

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 363LP0200X

Type:

Classification:



Definition:



MEDICAL JOBS MN - Page 1

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