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Kenneth Leroy King SR.
Student in an Organized Health Care Education/Training Program in New Brighton, Minnesota
NPI 1568086346

Kenneth Leroy King SR. is a Student in an Organized Health Care Education/Training Program based in New Brighton, MN. Kenneth Leroy King SR. practices in New Brighton, MN. The NPI Number for Kenneth Leroy King SR. is 1568086346 and holds a License No. (Minnesota).

The current practice location address for Kenneth Leroy King SR. is 1900 Silver Lake Rd Nw, New Brighton, MN and can be reached out via phone at 651-628-9566.

Location: 1900 Silver Lake Rd Nw, New Brighton, MN, 55112-1786
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568086346
Provider Name
Kenneth Leroy King SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1900 Silver Lake Rd Nw, New Brighton, MN, 55112-1786
Phone Number
651-628-9566
Fax Number
Provider Enumeration Date
06/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1900 Silver Lake Rd Nw
City
New Brighton
State
Minnesota
Zip
55112-1786
Phone Number
651-628-9566
Fax Number
person
Provider Business Mailing Address Details
Address
1900 Silver Lake Rd Nw
City
New Brighton
State
Minnesota
Zip
55112-1786
Phone Number
651-628-9566
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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