Kayla Lee Ellen Louise Bickford
Registered Nurse in Buffalo, MN. Individual provider (NPI-1).
NPI number1669959508
StatusActive
Last updated in NPPESJul 24, 2018
Details
- NPI
- 1669959508
- Entity type
- Individual (NPI-1)
- Name
- Kayla Lee Ellen Louise Bickford
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 24, 2018
- Last updated
- Jul 24, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 2461348 | MN | Yes |
Practice location
25 1st Ave Ne Ste 100thBuffalo, MN 55313-1568
Phone 763-682-3005
Mailing address
25 1st Ave Ne Ste 100thBuffalo, MN 55313-1568
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