| NPI | 1891519203 |
|---|---|
| Doing Business As | KIM'S KORNER LLC |
| Entity Type | Organization |
| Authorized Contact | KIM RICHARDSON Manager 651-503-6573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2024-12-10 |