JACOB ANDREW KINGSTON

PLYMOUTH, MN
NPI1366019796
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MN  2630)
Enumeration Date2021-06-04
Last Update Date2024-05-30
Business Address
Mr. JACOB ANDREW KINGSTON RN
14700 28TH AVE N STE 20
PLYMOUTH, MN 55447-4876
Phone number: 763-559-3779
Mailing Address
Mr. JACOB ANDREW KINGSTON RN
PO BOX 47159
PLYMOUTH, MN 55447-0159
Phone number: 763-559-3779