Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESTINO K KABBA
Active Sole ProprietorJESTINO K KABBA is a Podiatric Surgery healthcare provider located in BROOKLYN CENTER, Minnesota. NPI 1487993432 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · BROOKLYN CENTER, MN
Registration Details
- NPI Number
- 1487993432
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 12, 2013 (13.514590593542 yrs)
- Last Updated
- Feb 12, 2013
- Sole Proprietor
- Yes
Practice Information
- Address
-
3300 BASS LAKE RD STE 211BROOKLYN CENTER, MN, 554293065Browse MN providers · Browse ZIP 55429
- Phone
- 6122258107
- Primary Specialty
-
Podiatric Surgery
3747A0650X
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.