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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KIM I EVENSON

Active Sole Proprietor

MRS. KIM I EVENSON is a Podiatric Surgery healthcare provider located in ZIMMERMAN, Minnesota. NPI 1346605425 is currently active in the NPPES registry. Verify at CMS.

Podiatric Surgery · ZIMMERMAN, MN

Registration Details

NPI Number
1346605425
Provider Type
Individual
Gender
Female
NPI Issued
Dec 16, 2015 (10.673554543858 yrs)
Last Updated
Dec 16, 2015
License
1028725-7-AFC (MN)
Sole Proprietor
Yes

Practice Information

Address
27911 LAKE DIANN RD
ZIMMERMAN, MN, 553984268
Browse MN providers · Browse ZIP 55398
Phone
7638560912
Primary Specialty
Podiatric Surgery
3747A0650X

Other Podiatric Surgery Providers in ZIMMERMAN, MN

Name Credential NPI
HOLLY ALTENHOFEN 1578458881
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.