Kristin S. Kildahl, Ma, Lp, Llc

LBN: Kristin S. Kildahl, Ma, Lp, Llc
Kristin S. Kildahl, Ma, Lp, Llc is an health care organization with primary practice located at 7200 France Ave S , Edina MN 55435-4300. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Kristin S. Kildahl, Ma, Lp, Llc can be contacted via phone (612) 272-5107, or through Kildahl, Kristin Skoog via phone (612) 272-5107.

Contact Information

Primary practice address
7200 France Ave S Edina MN 55435-4300
Phone: (612) 272-5107
Fax: (651) 730-6657
Website:
Map and Directions
Authorized official contact:
Name: Kildahl, Kristin Skoog MA, LP
Phone: (612) 272-5107

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP1384 Minnesota

Profile Details

NPI number 1669796058
LBN Legal business name Kristin S. Kildahl, Ma, Lp, Llc
DBA Doing business as
Authorized official Kildahl, Kristin Skoog MA, LP
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2010
Last updated Mar 16th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669796058 NPPES
Minnesota Other 1578643730 TYPE 1 NPI #
Minnesota MEDICAID 1578643730 TYPE 1 NPI #

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