Individual provider · Type 1 NPI

Kim Marie Makousky

Licensed Practical Nurse · Roseville, MN

NPI number 1013214428 Active

Practice location

2800 Cleveland Ave N
Roseville, MN 55113-1126

Call (651) 642-1825 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XL394321 (MN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1013214428

Kim Marie Makousky's National Provider Identifier is 1013214428, issued on Feb 21, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Roseville, MN. The record was last updated on Feb 21, 2011.