NPI 1013214428

Kim Marie Makousky

Practitioner Licensed Practical Nurse Roseville, MN

Practice location

Address: 2800 Cleveland Ave N, Roseville, MN 55113-1126
Phone: (651) 642-1825

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence L394321 (MN)

Other Licensed Practical Nurse providers in Minnesota →

Registry record

NPI: 1013214428
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Feb 2011
Record last updated: 21 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.