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Vida S Kent, C.N.M.

Advanced Practice Midwife in St Louis Park, MN. Individual provider (NPI-1).

NPI number1790769461
StatusActive
Last updated in NPPESDec 7, 2012

Details

NPI
1790769461
Entity type
Individual (NPI-1)
Name
Ms. Vida S Kent
Credential
C.N.M.
Sex
Female
Sole proprietor
No
Enumeration date
Dec 6, 2005
Last updated
Dec 7, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367A00000X Advanced Practice MidwifeR115246-5MNYes

Practice location

6490 Excelsior Blvd
Ste E111
St Louis Park, MN 55426-4705

Phone 952-993-5029

Mailing address

6465 Wayzata Blvd
Ste 315
St Louis Park, MN 55426-1728

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Other Advanced Practice Midwife providers in St Louis Park, MN

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