Lundquist, Kipton J V

Lundquist, Kipton J V is an individual health care provider with primary practice located at 701 Park Ave P5, Minneapolis MN 55415-1623. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Lundquist, Kipton J V can be contacted via phone (612) 873-2810.

Contact Information

Primary practice address
701 Park Ave P5 Minneapolis MN 55415-1623
Phone: (612) 873-2810
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 24005 Minnesota

Profile Details

NPI number 1891722260
LBN Legal business name Lundquist, Kipton J V
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Dec 30th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891722260 NPPES
Minnesota MEDICAID 933567600

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