Kevin C. Carlson
Adult Health Nurse Practitioner in Minneapolis, MN(View on Map)
Full Name
Kevin Charles Carlson
NPI Number
1669005948
NPI Type
Individual Provider
Gender
Male
Enumeration Date
02/14/2020
Specialties
(Taxonomies)Code
363LA2200X
363L00000X
Primary Taxonomy
Yes
No
Licenses
State
Minnesota
License Number
7248
Contact
Information
Purpose
Mailing
Location
Address
2925 CHICAGO AVE
800 E 28TH ST STE H2100
City
Minneapolis
Minneapolis
State
MN
MN
Postal Code
55407-1321
55407-3723
Country
US
US
Telephone Number
(612) 262-9000
(612) 863-3900
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
kcarlson448688@excellian.direct.allina.com
Endpoint Description
Unknown
Use
Direct
Content Type
Other
Other Description:CDA/PDF/TXT
Affiliation
N
Endpoint Location
800 E 28th St Ste H2100Minneapolis, MN554073723US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/04/2024
Provider Address
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