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1063414738
MICHAEL S KENNEDY
COON RAPIDS, MN
NPI
1063414738
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MN R 093139-9)
Enumeration Date
2005-08-12
Last Update Date
2008-05-15
Business Address
-- MICHAEL S KENNEDY CRNA
8990 SPRINGBROOK DR NW
COON RAPIDS, MN 55433-5884
Phone number: 763-398-0099
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Mailing Address
-- MICHAEL S KENNEDY CRNA
11490 SILVEROD ST NW
COON RAPIDS, MN 55433-2640
Phone number:
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