NPI 1134392350

Kimberly Kae Crist, LPN

Practitioner Lodging Provider Bagley, MN

Practice location

Address: 28647 Hwy 92, Bagley, MN 56621
Phone: (218) 694-3049
Fax: (218) 785-2707
Mailing address: 34666 Rock Ridge Rd, Bagley, MN 56621-4214

Registered specialties

Lodging Provider Primary

Other Service Providers Taxonomy 177F00000X Licence 0006952-14675 (MN)

Other Lodging providers in Minnesota →

Registry record

NPI: 1134392350
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Apr 2008
Record last updated: 9 Apr 2008

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.