Struck, Kjersten Wing

Struck, Kjersten Wing is an individual health care provider with primary practice located at 2855 Campus Dr , Plymouth MN 55441-2649. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Struck, Kjersten Wing can be contacted via phone (763) 577-7160.

Contact Information

Primary practice address
2855 Campus Dr Plymouth MN 55441-2649
Phone: (763) 577-7160
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R140963-6 Minnesota

Profile Details

NPI number 1104981778
LBN Legal business name Struck, Kjersten Wing
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Jan 19th, 2022 - about 4 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 1104981778 NPPES
Minnesota MEDICAID 882949700

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