NPI 1548920226

Andrey Petrovich Kirkov

Practitioner Driver Burnsville, MN

Practice location

Address: 10784 McCool Dr E, Burnsville, MN 55337-3896
Phone: (612) 242-0400
Mailing address: 5311 W 74th St Suite 13, Burnsville, MN 55337

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1548920226
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Dec 2021
Record last updated: 22 Dec 2021

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.