Individual provider · Type 1 NPI
Kevin Charles Carlson
Adult Health Nurse Practitioner · Minneapolis, MN
NPI number
1669005948
Active
Practice location
800 E 28th St Ste H2100
Minneapolis, MN 55407-3723
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Other practice locations
- 500 Harvard St SE, Minneapolis, MN 55455-0363 · (651) 503-2957
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 7248 (MN) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 7248 (MN) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1669005948
Kevin Charles Carlson's National Provider Identifier is 1669005948, issued on Feb 14, 2020. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Minneapolis, MN. The record was last updated on Mar 4, 2024.