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Dr. Kimberly Susan Bass, MD
Specialist in Falcon Heights, Minnesota
NPI 1801972674

Kimberly Susan Bass is a Specialist based in Falcon Heights, MN. Kimberly Susan Bass practices in Falcon Heights, MN and has the professional credentials of MD. The NPI Number for Kimberly Susan Bass is 1801972674 and holds a License No. 34550 (Minnesota).

The current practice location address for Kimberly Susan Bass is 1347 Larpenteur Ave W, Falcon Heights, MN and can be reached out via phone at 651-558-2020 and via fax at 651-487-2369.

Location: 1347 Larpenteur Ave W, Falcon Heights, MN, 55113-6302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801972674
Provider Name
Kimberly Susan Bass
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1347 Larpenteur Ave W, Falcon Heights, MN, 55113-6302
Phone Number
651-558-2020
Fax Number
651-487-2369
Provider Enumeration Date
10/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00375969 01 MN RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1347 Larpenteur Ave W
City
Falcon Heights
State
Minnesota
Zip
55113-6302
Phone Number
651-558-2020
Fax Number
651-487-2369
person
Provider Business Mailing Address Details
Address
1347 Larpenteur Ave W
City
Falcon Heights
State
Minnesota
Zip
55113-6302
Phone Number
651-558-2020
Fax Number
651-487-2369
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
34550 (Minnesota)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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