| NPI | 1518239904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY P KIMBERLEY Owner 612-490-7330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0012X Otolaryngology, Sleep Medicine (Licence: KS 32263) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |