person
Imo I Kalla, NP
Family Nurse Practitioner in Sartell, Minnesota
NPI 1548383664

Imo I Kalla is a Family Nurse Practitioner based in Freeport, MN and is specialized in Family. Imo I Kalla practices in Sartell, MN and has the professional credentials of NP. The NPI Number for Imo I Kalla is 1548383664 and holds a License No. R118728-1 (Minnesota).

The current practice location address for Imo I Kalla is 2251 Connecticut Avenue S, Sartell, MN and can be reached out via phone at 320-253-5220 and via fax at 320-203-2113. You can also correspond with Imo I Kalla through the mailing address at 8170 33RD AVE S, FREEPORT, MN - 55425-4516 (mailing address contact number: 952-883-5375).

Location: 2251 Connecticut Avenue S, Sartell, MN, 55425-4516
person
Provider Profile Details
NPI Number
1548383664
Provider Name
Imo I Kalla
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2251 Connecticut Avenue S, Sartell, MN, 55425-4516
Phone Number
320-253-5220
Fax Number
320-203-2113
Provider Enumeration Date
04/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
177515400 05 MN
institution
Provider Business Practice Location Address Details
Address
2251 Connecticut Avenue S
City
State
Zip
56377-2486
Phone Number
320-253-5220
Fax Number
320-203-2113
person
Provider Business Mailing Address Details
Address
2251 Connecticut Avenue S
City
State
Zip
56377-2486
Phone Number
320-253-5220
Fax Number
320-203-2113
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R118728-1 (Minnesota)
Definition
Definition to come...
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